Shannon Lynch, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-157021 Issued in ID

Practice address

2626 N Peregrine PL
Boise, ID 83702-1300

Phone

(208) 866-6215

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1770200065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N PEREGRINE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021300",
            "telephone_number": "208-866-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N PEREGRINE PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021300",
            "telephone_number": "208-866-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "SHANNON",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "N-39818",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "ID",
            "license": "L-157021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LWK, P.C.
• Mary Christine Lyle
• Alissa Lyles, MS CCC-SLP
• Joseph Randall Lynch, MD
• Maureen K Lynch, MD
• Colin Alan Lyness, MD
• Lynn R. Blaisdell, DDS, PA
• Michael Brian Lynn, PAC
• Lyon Therapy
• Alissa D Lyon, LCSW

• Lactation Consultant (Registered Nurse) in Boise, ID
• Providers in Boise, ID by specialty
• Lactation Consultant (Registered Nurse) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.