Active NPI
Lauren Boudreau, D.O.
- Neonatal-Perinatal Medicine Physician
- Brighton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 1015022
- Practice address
- 736 Cambridge St
Brighton, MA 02135-2907 - Phone
- (617) 724-9040
- NPI assigned
- Mar 29, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1015022 | MA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 1015022 | MA | Primary |
Addresses
Primary practice location
736 Cambridge St
Brighton, MA 02135-2907
Mailing address
960 Massachusetts Ave Ste 2
Boston, MA 02118-2690
Phone (617) 414-5405
Other practice location 1
70 East St
Methuen, MA 01844-4597
Phone (978) 687-0151
Other practice location 2
55 Fruit St
Boston, MA 02114-2621
Phone (617) 726-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1015022 | MA | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Child Health Foundation of Boston, Inc. | Pediatrics | Current | Accepting new patients |
| Boston Medical Center Corporation | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| BMC Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Pediatrics | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Holy Family Hospital, Inc. | Past | Accepting new patients | |
| Boston Medical Center - Brighton Corporation | Past | Accepting new patients | |
| Boston Medical Center - South Corporation | Past | Accepting new patients |
Locations
960 Massachusetts Ave
Ste 2
Boston, MA 02118
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
850 Harrison Ave
#4
Boston, MA 02118
Phone (617) 414-2000
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
736 Cambridge St
Fl 8
Brighton, MA 02135
Phone (617) 789-3309
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
70 East St
Methuen, MA 01844
Phone (978) 682-1906
Interoperability endpoints
- lboudreau252305@direct.bmc.masshiway.net
- lboudreau126898@tuftsmedicine.direct-ci.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1245320910
-
- Pediatrics Physician
- Boston, MA
- NPI 1619969920
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Pediatrics
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
-
- Specialist
- Watertown, MA
- NPI 1629398219
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Boston, MA
- NPI 1346218294
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- General Acute Care Hospital
- Boston, MA
- NPI 1720814072
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1033421664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1245762392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVE STE 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690",
"telephone_number": "617-414-5405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "736 CAMBRIDGE ST",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021352907",
"telephone_number": "617-724-9040"
}
],
"practiceLocations": [
{
"address_1": "70 East St",
"address_purpose": "LOCATION",
"city": "Methuen",
"state": "MA",
"postal_code": "018444597",
"country_code": "US",
"telephone_number": "978-687-0151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Fruit St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021142621",
"country_code": "US",
"telephone_number": "617-726-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUDREAU",
"first_name": "LAUREN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "1015022",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MA",
"license": "1015022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brighton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.