Katherine Dawn Gerosin-Shaffer, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MID-122 Issued in ID

Practice address

7437 W Kerry Dr
Boise, ID 83714-2080

Phone

(208) 412-4126

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Moon Midwives

  • Advanced Practice Midwife
  • Boise, ID
  • NPI 1669124533
  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1962167338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7437 W KERRY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142080",
            "telephone_number": "208-412-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 W KERRY DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142080",
            "telephone_number": "208-412-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEROSIN-SHAFFER",
        "first_name": "KATHERINE",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "CPM, LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWIFE",
            "identifier": "MID-122",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gericare of Idaho, LLC
• Suzanne Rebecca Gerlach, BS PSYCH
• Ninon Marie Germain Collet, M.D.
• Frank Alan Germano, M.D.
• Gregory Germano
• Luke Gerosin
• Winslow Gregory Gerrish, PHD
• Jillian J Gerrity, MD
• Eliza Minculescu Gertlar
• Amber Gerulf, PT, DPT

• Midwife in Boise, ID
• Providers in Boise, ID by specialty
• Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.