Active NPI
Lacie Shilo Asher, FNP-C
- Family Nurse Practitioner
- Burley, ID
National Provider Identifier
1609107176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-944A
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609107176 | Medicaid | ID |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-944A | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | 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
- 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.
-
dba Psbhc
- Community/Behavioral Health Agency
- Twin Falls, ID
- NPI 1013204957
-
- Psychiatry Physician
- Twin Falls, ID
- NPI 1528136793
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
- Anesthesia West, PA
- Heather Tanner Anthon
- Anthony J Anderson MD & Assoc LLC
- Staci Armstrong, LPC
- Alice K Ash, CST
- Aspenwood Counseling and Behavior Center
- Assisted Living Concepts Inc (Warren House)
- Auralcare Hearing Centers of America, LLC (My Hearing Centers)
- B R Boehmer MD PA
- Kevin D. Banner, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.