Lullaby Waters PLLC
NPI 1114342755 · Occupational Therapist · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lullaby Waters PLLC is a Occupational Therapist organization in Boise, ID (NPI 1114342755).
Provider details
- NPI number
- 1114342755
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Nicole Nickell, Owner(208) 949-3481
- License
- OT-1014 (ID)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-02-19
- Last updated
- 2021-07-13
- Certified
- 2021-07-13
Frequently asked questions
- What is Lullaby Waters PLLC's NPI number?
- Lullaby Waters PLLC's National Provider Identifier (NPI) is 1114342755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lullaby Waters PLLC?
- Lullaby Waters PLLC is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lullaby Waters PLLC located?
- Lullaby Waters PLLC's practice location on file with NPPES is 1410 S Broadway Ave, Boise, ID 83706-3706.
- What is Lullaby Waters PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lullaby Waters PLLC is (208) 949-3481.
- Does Lullaby Waters PLLC accept Medicare?
- Lullaby Waters PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lullaby Waters PLLC?
- The authorized official listed on Lullaby Waters PLLC's NPPES record is Nicole Nickell, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lullaby Waters PLLC's NPI active?
- Yes — Lullaby Waters PLLC's NPI (1114342755) is active in the NPPES registry as of the last update on 2021-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.