Individual provider Active NPI

Erin Alexis Shaw McCarter, BSN, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Boise, ID
National Provider Identifier
1548553555
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
107-25803 Issued in ID
Practice address
207 W Washington St
Boise, ID 83702-5989
Phone
(208) 484-1899
NPI assigned
May 24, 2011
Last updated
May 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 107-25803 ID Primary

Addresses

Primary practice location

207 W Washington St
Boise, ID 83702-5989

Mailing address

2626 N El Rancho Dr
Boise, ID 83704-6205
Phone (208) 484-1899

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
107-25803IDMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1548553555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N EL RANCHO DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837046205",
            "telephone_number": "208-484-1899"
        },
        {
            "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": "837025989",
            "telephone_number": "208-484-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTER",
        "first_name": "ERIN",
        "middle_name": "ALEXIS SHAW",
        "name_prefix": "Mrs.",
        "credential": "BSN, RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "107-25803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 24, 2011; 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.