Lullaby Waters PLLC
NPI 1114342755ActiveOrganization· Occupational Therapist· Boise, ID
Occupational Therapist in Boise, Idaho, registered in NPPES in February 2014. The authorized official on file is Nicole Nickell, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114342755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2014 |
| Last updated in NPPES | Jul 13, 2021 |
| Certified by provider | Jul 13, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT-1014 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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