NPIMap

Organization Active NPI

Treasure Valley Midwives, LLC

  • Birthing Clinic/Center
  • Boise, ID
National Provider Identifier
1790823375
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
Legal business name
TREASURE VALLEY MIDWIVES, LLC
Practice address
207 W Washington St
Boise, ID 83702-5989
Phone
(208) 343-2079
Fax
(208) 343-6828
NPI assigned
Feb 3, 2007
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Shannon R Kelley
Title
Administrative Director
Phone
(208) 343-2079

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X NU
Midwife 176B00000X NU
Birthing Clinic/Center 261QB0400X NU Primary
Advanced Practice Midwife 367A00000X NU

Addresses

Primary practice location

207 W Washington St
Boise, ID 83702-5989

Mailing address

207 W Washington St
Boise, ID 83702-5989
Phone (208) 343-2079

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2004871Treasure Valley Midwives207 W Washington St, Boise, ID 83702Provider-performed microscopyMar 14, 2028

National Provider Directory

National Provider Directory

Locations

207 W Washington St
Boise, ID 83702
Phone (208) 343-2074

207 W Washington St
Ste A
Boise, ID 83702

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1790823375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025989",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE VALLEY MIDWIVES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "208-343-2079"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.