Anna Marie Allen, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

49583 Issued in ID

Practice address

207 W Washington St
Boise, ID 83702-5941

Phone

(208) 343-2079

Fax

(208) 343-6828

NPI assigned

Feb 15, 2024

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Boise Advanced Imaging PLLC

  • Vascular & Interventional Radiology Physician
  • Boise, ID
  • NPI 1013946235
  NPD (past)
• Treasure Valley Midwives, LLC

  • Birthing Clinic/Center
  • Boise, ID
  • NPI 1790823375

  Lactation Consultant

  NPD (past)

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1376308759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025941",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W WASHINGTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025941",
            "telephone_number": "208-343-2079",
            "fax_number": "208-343-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANNA MARIE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "49583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDAHO BOARD OF NURSING",
            "identifier": "49583",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allante Plastic Surgery
• Allegiance Behavioral Health LLC
• Allegiance Home Health Care LLC
• Tom Tore Allegrezza, D.C.
• Laura L. Allen-Wade, MA, LPC
• Ashley R Allen, APRN-CNP
• Brian David Allen, CRNA
• Cameron Allen, DO
• Dayle Allen
• James E Allen, MD

• Lactation Consultant (Registered Nurse) in Boise, ID
• Providers in Boise, ID by specialty
• Lactation Consultant (Registered Nurse) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.