WALLENE A STODDARD (NPI# 1346437027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346437027 |
| Entity Type | Individual |
| Full Name | WALLENE A STODDARD |
| Credential | CNM |
| Practice Address |
270 N Linder Rd Meridian ID 83642 |
| Mailing Address |
270 N Linder Rd Meridian ID 83642-2437 |
| Practice Telephone | 2088841223 |
| Practice Fax Number | 2088871935 |
| Mailing Telephone | 2088841223 |
| Mailing Fax Number | 2088871935 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 57884 | ID | Nursing Service Providers |
| N | 163WX0003X |
Registered Nurse Specialization: Obstetric, Inpatient |
589572 | CA | Nursing Service Providers |
| Y | 176B00000X | Midwife | 57884 | ID | Other Service Providers |
| N | 367A00000X | Advanced Practice Midwife | 1792 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | IDAHO BOARD OF NURSING | 57884 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 411 Oak St, Sterling Medical Associates, Attn: Credentials, Cincinnati, OH 452192504 | 5139841800 | 5139844909 |
| Street Address |
270 N LINDER RD |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245377357 | Coleen M. Goodwin | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2007-01-30 |
| 1134761216 | Samantha J Nuxoll | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2019-10-10 |
| 1003206194 | Sarah Warner | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2015-01-28 |
| 1245640804 | Holly Sikha | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2014-05-05 |
| 1831510817 | Emily Northam | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2013-12-18 |
| 1447514245 | New Beginnings Baby Place LLC. | Advanced Practice Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2012-06-27 |
| 1467755090 | Jeusha Coleen Goodwin | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2010-12-21 |
| 1689711897 | The Baby Place Inc | Clinic/Center | 270 N Linder Rd, Meridian, ID 83642-2437 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| 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 |
|---|---|---|---|---|
| 1134406143 | Brittany Hiller | Midwife | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2011-11-05 |
| 1861777005 | Michelle Marie Spurlock | Midwife | 3313 W Cherry Ln, #405, Meridian, ID 83642-1119 | 2011-10-19 |
| 1487980108 | Donna Zenobia Holmes | Midwife | 1935 W Boulder Bar Dr, Meridian, ID 83646 | 2009-10-30 |
| 1245377357 | Coleen M. Goodwin | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2007-01-30 |
| 1134761216 | Samantha J Nuxoll | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2019-10-10 |
| 1922662121 | Hannah Elizabeth Ritner | Midwife | 1844 W Glade Creek St, Meridian, ID 83646-4310 | 2019-04-24 |
| 1598262834 | Sherene Lynnell Broome | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2018-04-12 |
| 1790207702 | Shelley Courtney | Midwife | 905c S Frontage Rd, Meridian, MS 39301 | 2017-07-11 |
| 1053702761 | Kathleen Ellen Hill | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2015-02-17 |
| 1003206194 | Sarah Warner | Midwife | 270 N Linder Rd, Meridian, ID 83642-2437 | 2015-01-28 |
| Find all providers in MERIDIAN | ||||
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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.