Active NPI
Elisabeth Capron, IBCLC, RN, CPN
- Lactation Consultant (Registered Nurse)
- Idaho Falls, ID
National Provider Identifier
1396201703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 55707
- Practice address
- 430 Crimson Dr
Idaho Falls, ID 83401-3748 - Phone
- (208) 553-2883
- NPI assigned
- Feb 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 55707 | ID | Primary |
Addresses
Primary practice location
430 Crimson Dr
Idaho Falls, ID 83401-3748
Mailing address
430 Crimson Dr
Idaho Falls, ID 83401-3748
Phone (208) 553-2883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55707 | ID | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1396201703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 CRIMSON DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834013748",
"telephone_number": "208-553-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 CRIMSON DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834013748",
"telephone_number": "208-553-2883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPRON",
"first_name": "ELISABETH",
"credential": "IBCLC, RN, CPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "ID",
"license": "55707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.