Active NPI
Annette M Lewis, LDEM, CPM
- Midwife
- Nampa, ID
National Provider Identifier
1871795476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MID-23
- Practice address
- 520 16TH Ave N
Nampa, ID 83687-3538 - Phone
- (208) 467-1230
- NPI assigned
- Jun 5, 2007
- 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-23 | ID | Primary |
Addresses
Primary practice location
520 16TH Ave N
Nampa, ID 83687-3538
Mailing address
520 16TH Ave N
Nampa, ID 83687-3538
Phone (208) 467-1230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MID-23 | Other | ID | LICENSED MIDWIFE |
Other names 1
- Mrs. Annette M Lewis
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-23 | ID | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Midwifery and Birth Center | Midwife | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Midwife
- Nampa, ID
- NPI 1124483821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1871795476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 16TH AVE N",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873538",
"telephone_number": "208-467-1230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 16TH AVE N",
"city": "NAMPA",
"state": "ID",
"postal_code": "836873538",
"telephone_number": "208-467-1230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ANNETTE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LDEM, CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "ID",
"license": "MID-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MIDWIFE",
"identifier": "MID-23",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNETTE",
"last_name": "LEWIS",
"middle_name": "M",
"prefix": "MRS.",
"credential": "LM",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.