Organization Active NPI

Ancient Paths Birth @ Wellness, LLC

  • Birthing Clinic/Center
  • Coeur d'Alene, ID
National Provider Identifier
1912429234
Registry record updated Jul 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Birthing Clinic/CenterTaxonomy code 261QB0400X
License
MID-33 Issued in ID
Legal business name
ANCIENT PATHS BIRTH @ WELLNESS, LLC
Practice address
2201 N Government Way Ste C
Coeur D Alene, ID 83814-3658
Phone
(208) 704-2765
Fax
(208) 704-2765
NPI assigned
Jul 7, 2017
Last updated
Jul 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2017

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

Authorized official

Name
Sarah Marie Dunn, CPM, LM
Title
Owner
Phone
(208) 415-1788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Birthing Clinic/Center 261QB0400X MID-33 ID Primary

Addresses

Primary practice location

2201 N Government Way Ste C
Coeur D Alene, ID 83814-3658

Mailing address

2201 N Government Way Ste C
Coeur D Alene, ID 83814-3658
Phone (208) 704-2765

National Provider Directory

National Provider Directory

Locations

2201 N Government Way
Ste C
Coeur D Alene, ID 83814
Phone (208) 244-6887

Practitioners & affiliated clinicians

Practitioners 1

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": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1912429234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-704-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N GOVERNMENT WAY STE C",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143658",
            "telephone_number": "208-704-2765",
            "fax_number": "208-704-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT PATHS BIRTH @ WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-415-1788",
        "authorized_official_credential": "CPM, LM"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "ID",
            "license": "MID-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.