Active NPI
Erin M Rae, R.D.
- Registered Dietitian
- Boise, ID
National Provider Identifier
1912238049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D-388
- Practice address
- 2200 Warm Springs Ave
Suite 106
Boise, ID 83712-8429 - Phone
- (208) 331-7000
- Fax
- (208) 331-7080
- NPI assigned
- Jan 29, 2010
- Last updated
- Jan 29, 2010
- 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 Dietitian | 133V00000X | D-388 | ID | Primary |
Addresses
Primary practice location
2200 Warm Springs Ave
Suite 106
Boise, ID 83712-8429
Mailing address
2200 Warm Springs Ave
Suite 106
Boise, ID 83712-8429
Phone (208) 331-7000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-388 | ID | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health Systems PLLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1264723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264723200000",
"number": "1912238049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WARM SPRINGS AVE",
"address_2": "SUITE 106",
"city": "BOISE",
"state": "ID",
"postal_code": "837128429",
"telephone_number": "208-331-7000",
"fax_number": "208-331-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WARM SPRINGS AVE",
"address_2": "SUITE 106",
"city": "BOISE",
"state": "ID",
"postal_code": "837128429",
"telephone_number": "208-331-7000",
"fax_number": "208-331-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAE",
"first_name": "ERIN",
"middle_name": "M",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ID",
"license": "D-388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.