Organization Active NPI

Lolo GRP.

  • Non-emergency Medical Transport (VAN)
  • Boise, ID
National Provider Identifier
1164319430
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
LOLO GRP.
Practice address
12249 W Irving St
Boise, ID 83713-2200
Phone
(425) 765-0586
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Christiaan Watson
Title
Owner
Phone
(425) 466-9602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

12249 W Irving St
Boise, ID 83713-2200

Mailing address

12249 W Irving St
Boise, ID 83713-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1164319430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12249 W IRVING ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12249 W IRVING ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837132200",
            "telephone_number": "425-765-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLO GRP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CHRISTIAAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-466-9602"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "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 Jun 19, 2025; 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.