Erin Elizabeth Irvin

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

95013571 Issued in CA

Practice address

880 Las Gallinas Ave Ste 2
San Rafael, CA 94903-3437

Phone

(415) 339-8813

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1013547090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 LAS GALLINAS AVE STE 2",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033437",
            "telephone_number": "415-339-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 LAS GALLINAS AVE STE 2",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033437",
            "telephone_number": "415-339-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95013571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERIFICATION NUMBER",
            "identifier": "NP95013571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Community Services
• Integrative Psychotherapy Inc.
• Barbara Inwald, D.O.
• Humberto Robert Inzunza, PA-C
• Jane Kathryn Ireland, MFT
• Thomas Craig Isaacs, PH.D.
• Kristin Mersereau Isaacson
• Sylvia R Israel, MFT
• Dena Ito, L.AC.
• Susan I. Ivancic, RN, BSN, CDE, SNIV

• Women's Health Nurse Practitioner in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Women's Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.