✓ Licensed & Credentialed Midwife (176B00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

DANIELLE MEGANN BOETTCHER WHITE, CPM (NPI #1053785519)

Midwife • RIGBY, ID • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1053785519
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
176B00000X
Licensed & Credentialed Midwife
Box 32 Service Location & ZIP+4
297 N 3855 E, RIGBY, ID, 83442-5124
✓ 9-Digit EDI 837 ZIP+4 (83442-5124)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1053785519 (DANIELLE MEGANN BOETTCHER WHITE, CPM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1053785519 (NPI-1 Individual Practitioner)
Provider / Legal NameDANIELLE MEGANN BOETTCHER WHITE, CPM
Plain-English SpecialtyLicensed & Credentialed Midwife
NUCC Code: 176B00000X (Midwife)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address297 N 3855 E, RIGBY, ID, 83442-5124
Practice Telephone / FaxTel: (208) 745-7571
Administrative Mailing AddressPO BOX 995, VICTOR, ID, 83455-0995
Enumeration & Last SyncEnumerated: 2015-11-20 | CMS Record Updated: 2015-11-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

297 N 3855 E, RIGBY, ID, 83442-5124

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Plain-English Taxonomy & CMS Crosswalk (176B00000X)

What Does Taxonomy Code 176B00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 176B00000X translates to:
"Licensed & Credentialed Midwife"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DANIELLE MEGANN BOETTCHER WHITE, CPM)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
176B00000X — Midwife
Plain English: Licensed & Credentialed Midwife
State: ID | License: MID-66 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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