Individual provider Active NPI

Sheila Marie Gardom, CPM, LM

  • Midwife
  • Meridian, ID
National Provider Identifier
1912899840
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
7571668 Issued in ID
Practice address
270 N Linder Rd
Meridian, ID 83642-2437
Phone
(208) 884-1223
Fax
(208) 887-1935
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 7571668 ID Primary

Addresses

Primary practice location

270 N Linder Rd
Meridian, ID 83642-2437

Mailing address

4407 Oregon Ave.
Caldwell, Id. 83607
Caldwell, ID 83607
Phone (208) 409-9064

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

LicenseStateTypeSpecialty
7571668IDMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings Baby Place LLC. PastSince Jul 22, 2025 Accepting new patients
The Baby Place Inc PastSince Jul 22, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1912899840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 OREGON AVE.",
            "address_2": "CALDWELL, ID. 83607",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "83607",
            "telephone_number": "208-409-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N LINDER RD",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422437",
            "telephone_number": "208-884-1223",
            "fax_number": "208-887-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDOM",
        "first_name": "SHEILA",
        "middle_name": "MARIE",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "7571668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.