Active NPI
Lauren A Musheno, CST
- Surgical Technologist
- Boise, ID
National Provider Identifier
1598968232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 081490
- Practice address
- 6140 Curtisian Ave
Ste 400
Boise, ID 83704-8880 - Phone
- (208) 367-3500
- Fax
- (208) 367-2968
- NPI assigned
- Jun 8, 2007
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 081490 | ID | Primary |
Addresses
Primary practice location
6140 Curtisian Ave
Ste 400
Boise, ID 83704-8880
Mailing address
6140 Curtisian Ave
Ste 400
Boise, ID 83704-8880
Phone (208) 367-3500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA053 | Other | ID | BLUE CROSS OF ID |
| SA054 | Other | ID | BLUE CROSS OF ID |
| 000010156502 | Other | ID | REGENCE BLUE SHIELD OF ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081490 | ID | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1598968232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6140 CURTISIAN AVE",
"address_2": "STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048880",
"telephone_number": "208-367-3500",
"fax_number": "208-367-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 CURTISIAN AVE",
"address_2": "STE 400",
"city": "BOISE",
"state": "ID",
"postal_code": "837048880",
"telephone_number": "208-367-3500",
"fax_number": "208-367-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSHENO",
"first_name": "LAUREN",
"middle_name": "A",
"credential": "CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "ID",
"license": "081490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "SA053",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ID",
"identifier": "SA054",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD OF ID",
"identifier": "000010156502",
"state": "ID"
}
],
"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 May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.