Active NPI
Lauren Constance Anderson-Carriere, M.D.
- Otolaryngology Physician
- Blackfoot, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- M-17458
- Practice address
- 98 Poplar St
Blackfoot, ID 83221-1758 - Phone
- (208) 785-3800
- Fax
- (208) 785-3876
- NPI assigned
- Mar 31, 2008
- Last updated
- Oct 8, 2026
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | M-17458 | ID | Primary |
Addresses
Primary practice location
98 Poplar St
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Other practice location 1
1151 Hospital Way # D-100
Pocatello, ID 83201-5091
Phone (208) 239-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M-17458 | Other | ID | STATE LICENSE |
Other names 1
- Dr. Lauren Constance Anderson de Moreno
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Louisiana State University School of Medicine in New Orleans, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BMH IncBingham Memorial Hospital
Practice addresses (Care Compare)
1151 Hospital Way
Pocatello, ID 83201-5091
Phone (208) 239-8008
315 W Idaho St
Blackfoot, ID 83221-1711
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221-1758
Phone (208) 785-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | Accepting new patients | |
| BMH Inc | Current | Accepting new patients | |
| BMH, Inc. | Past | Accepting new patients | |
| BMH Inc. | Past | Accepting new patients |
Locations
315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990
98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763
Interoperability endpoints
- laurenanderson-carriere@bmh.medalliesdirect.net
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Bingham Memorial Physicians & Surgeons Center
- Surgery Physician
- Blackfoot, ID
- NPI 1255539193
-
dba 1st Choice Urgent Care & Medical Center-Chubbuck
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
dba Bingham Memorial Specialty Clinic - Poplar
- Nephrology Physician
- Blackfoot, ID
- NPI 1801336276
-
dba Physicians & Surgeons Clinic of Pocatello
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1114192986
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blackfoot, ID
- NPI 1982805271
-
dba Portneuf Rehabilitation Center
- Rehabilitation Hospital Unit
- Pocatello, ID
- NPI 1144262114
-
dba Portneuf Medical Center
- General Acute Care Hospital
- Pocatello, ID
- NPI 1790751055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791417600000",
"number": "1073785945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-4100",
"fax_number": "208-782-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 POPLAR ST",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832211758",
"telephone_number": "208-785-3800",
"fax_number": "208-785-3876"
}
],
"practiceLocations": [
{
"address_1": "1151 Hospital Way # D-100",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832015091",
"country_code": "US",
"telephone_number": "208-239-8000",
"fax_number": "208-782-2974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON-CARRIERE",
"first_name": "LAUREN",
"middle_name": "CONSTANCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-31",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "ID",
"license": "M-17458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "M-17458",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "ANDERSON DE MORENO",
"middle_name": "CONSTANCE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.