Individual provider Active NPI

Jeanette Nicole Lamb, CNM

  • Advanced Practice Midwife
  • Pocatello, ID
National Provider Identifier
1912952029
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM-42A Issued in ID
Practice address
611 Wilson Ave
Ste 2
Pocatello, ID 83201-5046
Phone
(208) 261-4233
Fax
(833) 471-4276
NPI assigned
May 24, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X CNM-42A ID Primary

Addresses

Primary practice location

611 Wilson Ave
Ste 2
Pocatello, ID 83201-5046

Mailing address

611 Wilson Ave
Ste 2
Pocatello, ID 83201-5046
Phone (208) 261-4233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000054 ID Practitioner - Certified Nurse Midwife (CNM) 4789687062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Better Health With Nicole LLCGroup PAC ID 3072981430, 2 clinicians

Practice addresses (Care Compare)

611 Wilson Ave
Suite 2
Pocatello, ID 83201-5046
Phone (208) 261-4233

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
CNM-42AIDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Atropos Mental Health LLC CurrentSince Mar 11, 2025 Accepting new patients
Better Health and Healing CurrentSince Oct 1, 2022 Accepting new patients
Nobility Behavioral Health LLC CurrentSince Sep 1, 2022 Accepting new patients
Therapy Links Inc PastSince Oct 1, 2023 Accepting new patients

Locations

1175 Call Pl
Ste 100H
Pocatello, ID 83201
Phone (208) 238-3270

415 N 3rd Ave
#B
Pocatello, ID 83201
Phone (208) 646-4165

611 Wilson Ave
Ste 2
Pocatello, ID 83201
Phone (208) 261-4233

Interoperability endpoints

  • Direct secure messaging: jeanette.lamb.1@27506.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1912952029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE",
            "address_2": "STE 2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-261-4233",
            "fax_number": "833-471-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE",
            "address_2": "STE 2",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-261-4233",
            "fax_number": "833-471-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMB",
        "first_name": "JEANETTE",
        "middle_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "ID",
            "license": "CNM-42A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

Verify at the official NPI Registry.