Active NPI
Connie McClaran, R.N.
- Registered Nurse
- McCall, ID
National Provider Identifier
1790935427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- N-16879
- Practice address
- 203 Hewitt St
McCall, ID 83638 - Phone
- (208) 634-1400
- Fax
- (208) 634-4044
- NPI assigned
- Sep 30, 2008
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N-16879 | ID | Primary |
Addresses
Primary practice location
203 Hewitt St
McCall, ID 83638
Mailing address
1000 State St
McCall, ID 83638-3704
Phone (208) 634-1400
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N-16879 | ID | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1790935427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 STATE ST",
"city": "MCCALL",
"state": "ID",
"postal_code": "836383704",
"telephone_number": "208-634-1400",
"fax_number": "208-634-4044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HEWITT ST",
"city": "MCCALL",
"state": "ID",
"postal_code": "83638",
"telephone_number": "208-634-1400",
"fax_number": "208-634-4044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLARAN",
"first_name": "CONNIE",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ID",
"license": "N-16879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McCall, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.