Active NPI
Alison Shearer, MD
- Hospitalist Physician
- Boise, ID
National Provider Identifier
1396898482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M-5873
- Practice address
- 1072 N Liberty
Ste 100
Boise, ID 83704 - Phone
- (208) 302-1200
- Fax
- (208) 302-1255
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | M-5873 | ID | |
| Obstetrics & Gynecology Physician | 207V00000X | M5873 | ID | |
| Hospitalist Physician | 208M00000X | M-5873 | ID | Primary |
Addresses
Primary practice location
1072 N Liberty
Ste 100
Boise, ID 83704
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002722800 | Medicaid | ID |
Other names 1
- Alison Shearer-Depp
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M5873 | ID | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1396898482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-302-1200",
"fax_number": "208-302-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 N LIBERTY",
"address_2": "STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "83704",
"telephone_number": "208-302-1200",
"fax_number": "208-302-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "ALISON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M-5873",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "M5873",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "ID",
"license": "M-5873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002722800",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ALISON",
"last_name": "SHEARER-DEPP",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.