IndividualActive
Tracy Gibson, CNM
NPI 1700896685 · Advanced Practice Midwife · Pocatello, ID
Provider details
- NPI number
- 1700896685
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- CNM33 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 S 11th Ave
Suite 402
Pocatello, ID 83201-4835
Phone: (208) 239-3412
Fax: (208) 239-3441
Street-level locationGet directions
Mailing address
500 S 11th Ave
Pocatello, ID 83201-4835
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2011-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.