MS. SUSIE ELLIS (NPI# 1942620653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942620653 |
| Entity Type | Individual |
| Full Name | MS. SUSIE ELLIS |
| Credential | CPM, LM |
| Practice Address |
9540 W Dorsetshire Pl Boise ID 83704-2229 |
| Practice Telephone | 2082840200 |
| Mailing Telephone | 2082840200 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | MID-54 | ID | Other Service Providers |
| Street Address |
9540 W DORSETSHIRE PL |
| City | BOISE |
| State | ID |
| Zip Code | 83704-2229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1952875205 | Darcy Danielle Clark | Midwife | 226 W Village Ln, Boise, ID 83702-6217 | 2019-01-18 |
| 1649764416 | Jennifer Jahn | Midwife | 3223 W Rose Hill St., Boise, ID 83705-1563 | 2018-06-15 |
| 1225588932 | Suzie G Campana | Midwife | 2100 W Panama St, Boise, ID 83705-5120 | 2016-10-05 |
| 1558722728 | Chelsea Jahn | Midwife | 3223 W Rose Hill St, Boise, ID 83705-1653 | 2016-03-15 |
| 1255729745 | Carol Jean Johnson | Midwife | 6515 S Rohanna Way, Boise, ID 83709-5819 | 2015-01-06 |
| 1629303292 | The Natural Alternative Midwivery Practice LLC | Midwife | 2829 N Citrus Pl, Boise, ID 83713-5185 | 2009-10-15 |
| 1033341367 | Megan Kirsch | Midwife | 4818 W Corporal St, Boise, ID 83706-1927 | 2009-08-20 |
| 1336391382 | Karen Erickson | Midwife | 2769 Snowflake Dr, Boise, ID 83706-4843 | 2008-10-21 |
| 1659535334 | Rosemary E. Penwell | Midwife | 3018 W Overland Rd, Boise, ID 83705-3059 | 2008-07-11 |
| Find all providers in BOISE | ||||
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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.