MRS. JULIA LANCASTER MUCKERMAN (NPI# 1790917789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790917789 |
| Entity Type | Individual |
| Full Name | MRS. JULIA LANCASTER MUCKERMAN |
| Credential | CNM, MSN |
| Practice Address |
777 Hospital Way Suite 300 Pocatello ID 83201-5175 |
| Practice Telephone | 2082326100 |
| Mailing Telephone | 2082326100 |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367A00000X | Advanced Practice Midwife | CNM 54A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
777 HOSPITAL WAY SUITE 300 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-5175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104825892 | Gregory S Harrison | Neurological Surgery | 777 Hospital Way, Suite 115, Pocatello, ID 83201-5175 | 2005-07-15 |
| 1801401344 | Sunny Blue Alene Nelson | Physician Assistant | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-09-11 |
| 1316570757 | Mark Alan Pendleton | Nurse Anesthetist, Certified Registered | 777 Hospital Way, Pocatello, ID 83201-5175 | 2020-02-13 |
| 1508413220 | Hilary Worthen | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-08-19 |
| 1437612447 | Walter S Medlin Md PC | Surgery | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-04-08 |
| 1396203428 | Amber Frost | Family Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2019-03-07 |
| 1649756404 | Kamilla Gundersen | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83207 | 2018-07-16 |
| 1043716285 | Brice Anderson | Specialist/Technologist | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-04-05 |
| 1851808133 | Rocky Mountain Physician Group LLC | Emergency Medicine | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-08 |
| 1154838886 | Mark Willis | Nurse Practitioner | 777 Hospital Way, Pocatello, ID 83201-5175 | 2018-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037758 | Patty J Ackerman | Advanced Practice Midwife | 777 Hospital Way Bldg A, Suite 300, Pocatello, ID 83201-5175 | 2011-09-13 |
| 1700896685 | Tracy Gibson | Advanced Practice Midwife | 500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 | 2006-08-09 |
| 1912952029 | Jeanette Nicole Lamb | Advanced Practice Midwife | 777 Hospital Way, Suite 300, Pocatello, ID 83201-5176 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090219 | Suzanne Moore Wilbrecht | Advanced Practice Midwife | 4800 S 1000 E, Victor, ID 83455-5443 | 2020-10-16 |
| 1104443290 | Sierra Bandler Shaffer | Advanced Practice Midwife | 207 W Washington St # 5989, Boise, ID 83702-5941 | 2020-07-06 |
| 1972128395 | Erin M Warrenburg | Advanced Practice Midwife | 9850 W St Lukes Dr # 129, Nampa, ID 83687-7912 | 2020-06-11 |
| 1376178400 | Christina May Hatley | Advanced Practice Midwife | 850 E Trinity Ct, Coeur D Alene, ID 83815-7325 | 2020-03-09 |
| 1215562509 | Nicole Marie Weiss | Advanced Practice Midwife | 411 S Polk St, Moscow, ID 83843-3356 | 2020-03-06 |
| 1689216095 | Machelle F. Peterson | Advanced Practice Midwife | 1301 Mica Mountain Rd, Deary, ID 83823-9641 | 2019-10-17 |
| 1790338291 | Heather L Witters | Advanced Practice Midwife | 1418 Grelle Ave, Lewiston, ID 83501-5830 | 2019-07-23 |
| 1053857664 | Catherine R Obosky | Advanced Practice Midwife | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 | 2017-01-06 |
| 1801284211 | Michele Darcy Evans | Advanced Practice Midwife | 605 N Moore St, Moscow, ID 83843-3255 | 2015-01-07 |
| 1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
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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.