Active NPI
Michelle Marie Spurlock, CPM, LM
- Midwife
- Meridian, ID
National Provider Identifier
1861777005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-39
- Practice address
- 3313 W Cherry LN
#405
Meridian, ID 83642-1119 - Phone
- (208) 761-5405
- Fax
- (208) 888-1146
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MID-39 | ID | Primary |
Addresses
Primary practice location
3313 W Cherry LN
#405
Meridian, ID 83642-1119
Mailing address
3313 W Cherry LN
#405
Meridian, ID 83642-1119
Phone (208) 761-5405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MID-39 | ID | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1861777005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3313 W CHERRY LN",
"address_2": "#405",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421119",
"telephone_number": "208-761-5405",
"fax_number": "208-888-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 W CHERRY LN",
"address_2": "#405",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421119",
"telephone_number": "208-761-5405",
"fax_number": "208-888-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURLOCK",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
- Spine Institute of Idaho P a
- Spring Creek Idaho, LLC
- Spring Gardens Meridian Opco LLC
- Brent William Springer, PHARMD
- Ryan Spritzer
- SSF Psychological Services PLLC
- St Alphonsus Regional Medical Center Inc
- St Luke'S Elks Children'S Rehabilitation
- St Luke'S Elks Childrens Rehabilitation
- St Luke'S Meridian Inpt Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.