NPIMap

Organization Active NPI

Agape Birth Service and Birth Center

  • Birthing Clinic/Center
  • Rigby, ID
National Provider Identifier
1780834077
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
AGAPE BIRTH SERVICE AND BIRTH CENTER
Practice address
297 N 3855 East
Rigby, ID 83442
Phone
(208) 745-7571
Fax
(208) 745-8924
NPI assigned
Sep 24, 2008
Last updated
Apr 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mrs. Michelle Rae Bartlett, CPM.
Title
Owner
Phone
(208) 745-7571

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X NU Primary
Family Nurse Practitioner 363LF0000X NP868A ID
Midwife 176B00000X MID-19 ID
Midwife 176B00000X MID-38 ID
Midwife 176B00000X MID-9 ID

Addresses

Primary practice location

297 N 3855 East
Rigby, ID 83442

Mailing address

297 N 3855 East
Rigby, ID 83442
Phone (208) 745-7571

National Provider Directory

National Provider Directory

Locations

297 N 3855 E
Rigby, ID 83442
Phone (208) 220-2941

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1780834077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N 3855 EAST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-745-7571",
            "fax_number": "208-745-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N 3855 EAST",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-745-7571",
            "fax_number": "208-745-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE BIRTH SERVICE AND BIRTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-745-7571",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPM."
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP868A",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-19",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-38",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-9",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rigby, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.