Ashley Rachelle Erickson

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

2045542 Issued in MN

Practice address

3609 County Road 143
Mahtowa, MN 55707-8643

Phone

(218) 591-4784

NPI assigned

Jul 9, 2020

Last updated

Jul 9, 2020By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1043838667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 CLOQUET AVE # 216",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201620",
            "telephone_number": "218-591-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 COUNTY ROAD 143",
            "city": "MAHTOWA",
            "state": "MN",
            "postal_code": "557078643",
            "telephone_number": "218-591-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "ASHLEY",
        "middle_name": "RACHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MN",
            "license": "2045542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN, IBCLC PROVIDING LACTATION SERVICES",
            "identifier": "2045542",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "http",
            "affiliation": "N",
            "endpointDescription": "REST API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3609 County Road 143",
            "city": "Mahtowa",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557078643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.