Lauren D. Bales, M.D.

Key facts

NPI

1366435687

Entity type

Individual (NPI type 1)

Primary specialty

Hospitalist Physician 208M00000X

License

M-13942 (ID)

Practice address

1055 N Curtis Road
Boise, ID 83706

Phone

(208) 367-6279

Fax

(208) 367-3951

NPI assigned

Aug 23, 2005

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: lbales1563933@direct.trinity-health.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2020.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1366435687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-367-6279",
            "fax_number": "208-367-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS ROAD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83706",
            "telephone_number": "208-367-6279",
            "fax_number": "208-367-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7695 Cardinal Ct",
            "address_2": "Suite 240",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921233357",
            "country_code": "US",
            "telephone_number": "858-277-9378",
            "fax_number": "858-277-9370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALES",
        "first_name": "LAUREN",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G86701",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-13942",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-13942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G867010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Rose Balangue, CRNA
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• Caitlin Baldwin
• Nathan Richard Baldwin
• Tobin Chambers Baldwin, LPC
• Andrew Ball, OD
• David Liam Ball, CYPSS, CPSS
• Joan E. Ball, RN, CNM
• Mary Elizabeth Ball, LCSW, ACADC
• Nakale Ball

All providers in Boise, ID · Hospitalist Physician in Idaho