MATUSHKA OLGA MICHAEL MATERNITY ASSOCIATES, INC (NPI# 1487140265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487140265 |
| Entity Type | Organization |
| Organization Name | MATUSHKA OLGA MICHAEL MATERNITY ASSOCIATES, INC |
| Practice Address |
182 W State St Eagle ID 83616-4959 |
| Mailing Address |
919 13th Ave S Nampa ID 83651-4618 |
| Practice Telephone | 2086392700 |
| Mailing Telephone | 7128280234 |
| Mailing Fax Number | 2089658789 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | KELLIE NORTHAM (CEO) |
| Authorized Official Telephone | 7128280234 |
| Authorized Official Credential | CNM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | MID-86 | ID | Other Service Providers |
| Y | 176B00000X | Midwife | CNM81-A | ID | Other Service Providers |
| Street Address |
182 W STATE ST |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-4959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135178 | Sarah Elizabeth Barrett | Midwife | 182 W State St, Eagle, ID 83616-4959 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1750797155 | Katharine Rawlins | Midwife | 553 E Brookwood Dr, Eagle, ID 83616-3891 | 2014-07-07 |
| 1871135178 | Sarah Elizabeth Barrett | Midwife | 182 W State St, Eagle, ID 83616-4959 | 2019-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556277 | Carissa Ellen Chamberlain | Midwife | 505 Boydstun St, Mccall, ID 83638-3403 | 2020-07-27 |
| 1750999082 | Clarissa Jo Baxter | Midwife | 2910 E Castleberg Loop, Nampa, ID 83686-7196 | 2020-07-22 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1629636824 | Mary Christine Harvey | Midwife | 10 W Main St Parker, Saint Anthony, ID 83445-5327 | 2019-06-03 |
| 1982161261 | Haley Suzanne Law | Midwife | 440 W Peach Tree Dr, Hayden, ID 83835-9740 | 2019-02-22 |
| 1952875205 | Darcy Danielle Clark | Midwife | 226 W Village Ln, Boise, ID 83702-6217 | 2019-01-18 |
| 1538636121 | Kylee Dee Johnson | Midwife | 2065 E 17th St Ste A, Idaho Falls, ID 83404-8042 | 2018-11-01 |
| 1649764416 | Jennifer Jahn | Midwife | 3223 W Rose Hill St., Boise, ID 83705-1563 | 2018-06-15 |
| 1205328333 | Krysta Maria Freed | Midwife | 6456 W Kamloops Dr, Rathdrum, ID 83858-6417 | 2018-06-04 |
| 1669960506 | Tabitha S Newman | Midwife | 9732 N 70th E, Idaho Falls, ID 83401-5566 | 2018-04-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.