Individual provider Active NPI

Lacie Shilo Asher, FNP-C

  • Family Nurse Practitioner
  • Burley, ID
National Provider Identifier
1609107176
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-944A Issued in ID
Practice address
2311 Parke Ave
Unit 2 Suite 6&8
Burley, ID 83318-2170
Phone
(208) 878-6413
Fax
(208) 878-6417
NPI assigned
Jan 23, 2010
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-944A ID Primary

Addresses

Primary practice location

2311 Parke Ave
Unit 2 Suite 6&8
Burley, ID 83318-2170

Mailing address

2311 Park Ave
Suite 6
Burley, ID 83318-2170
Phone (208) 878-6413

Other identifiers 1

IdentifierTypeStateIssuer
1609107176MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000230 ID Practitioner - Nurse Practitioner 5799978607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-944AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Apr 7, 2025 Accepting new patients
Psychiatric Services Behavioral Health Clinic Inc Past Accepting new patients
Psychiatric Services, PA Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

Interoperability endpoints

  • Direct secure messaging: lasher18725@direct-prd.molinahealthcare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1264204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1609107176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 PARK AVE",
            "address_2": "SUITE 6",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182170",
            "telephone_number": "208-878-6413",
            "fax_number": "208-878-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 PARKE AVE",
            "address_2": "UNIT 2 SUITE 6&8",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182170",
            "telephone_number": "208-878-6413",
            "fax_number": "208-878-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHER",
        "first_name": "LACIE",
        "middle_name": "SHILO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-23",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-944A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609107176",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.