LULLABY WATERS PLLC
NPI 1114342755
Occupational Therapist in Boise, ID
About Lullaby Waters Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LULLABY WATERS PLLC (NPI 1114342755) is a healthcare organization registered as an occupational therapist in Boise, Idaho and active in the NPI registry since February 2014. The organization lists Nicole Nickell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lullaby Waters Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lullaby Waters PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lullaby Waters PLLC's NPI number?
The NPI number for Lullaby Waters PLLC is 1114342755. It was assigned to this organization in the NPPES registry on February 19, 2014.
Where is Lullaby Waters PLLC located?
Lullaby Waters PLLC is located at 1410 S Broadway Ave, Boise, ID 83706. The listed phone number is (208) 949-3481.
What is Lullaby Waters PLLC's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Lullaby Waters PLLC enrolled in Medicare?
Yes. Lullaby Waters PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lullaby Waters PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Lullaby Waters PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lullaby Waters PLLC was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.