Rosemary E. Penwell, LM, CPM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MID-3 Issued in ID

Practice address

3018 W Overland Rd
Boise, ID 83705-3059

Phone

(208) 570-4578

NPI assigned

Jul 11, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy in Action Vineyard Inc

  • Birthing Clinic/Center
  • Boise, ID
  • NPI 1861862534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1659535334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10304 W PATTIE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837041245",
            "telephone_number": "208-570-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837053059",
            "telephone_number": "208-570-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENWELL",
        "first_name": "ROSEMARY",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "LM, CPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Walker Pennock
• Pennsylvania Dental
• Tanya M Penny, OT
• Danielle Pense-Nicholson, FNP
• Ian Penwell, CPM
• Vicki Allen Penwell, CPM
• Tyra Noell Peone
• Maria Eugenia Pereda-Torp, MA, LPC, NCC
• Carissa Pereda, M.D.
• Peregrine Physical Therapy LLC

• Midwife in Boise, ID
• Providers in Boise, ID by specialty
• Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.