Lila Mae MC Ewen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10 Issued in AK

Practice address

11432 Business Blvd
Eagle River, AK 99577-7720

Phone

(907) 694-1300

Fax

(907) 694-1315

NPI assigned

Nov 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Heart of Eagle River Medical Clinic

  • Family Medicine Physician
  • Eagle River, AK
  • NPI 1033277041
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821168444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 CHATHAM CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778656",
            "telephone_number": "907-622-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11432 BUSINESS BLVD",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777720",
            "telephone_number": "907-694-1300",
            "fax_number": "907-694-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC EWEN",
        "first_name": "LILA",
        "middle_name": "MAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ray Matthews
• Laurie Lynn Matthews
• Fredrick George May, PA-C
• Laurel Alexandrea May
• Danielle Maynard, DPT
• Dominik Robert McAnly
• Erin McArthur, M.D.
• Paige McCaffrey
• Jessica McCartney
• Marilyn McCorry

• Family Nurse Practitioner in Eagle River, AK
• Providers in Eagle River, AK by specialty
• Family Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.