Individual provider Active NPI

Lauren Rose Addison, M.S. SLP

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1013686054
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-5421 Issued in ID
Practice address
8620 W Emerald St Ste 100
Boise, ID 83704-4838
Phone
(208) 898-1368
NPI assigned
Sep 13, 2021
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-5421 ID Primary

Addresses

Primary practice location

8620 W Emerald St Ste 100
Boise, ID 83704-4838

Mailing address

101 11TH Ave S # 155
Nampa, ID 83651-3918
Phone (208) 466-1077

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laddison@boisechatterbox.com Direct

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-5421IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chatterbox Pediatric Therapy Speech-Language Pathologist PastSince Sep 23, 2021 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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1013686054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 11TH AVE S # 155",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513918",
            "telephone_number": "208-466-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 W EMERALD ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044838",
            "telephone_number": "208-898-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "LAUREN",
        "middle_name": "ROSE",
        "credential": "M.S. SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laddison@boisechatterbox.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4924 Laster St # SR",
            "city": "Caldwell",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836078054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 19, 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.