Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren B Ridley

Individual provider Physician Assistant · NPI 1356095673

Lauren B Ridley is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Children's Sports Medicine Foundation Inc, a 33-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8839 (MA)

Record details

NPI number1356095673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2022
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address300 Longwood Ave, Boston, MA 02115-5724

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Children'S Sports Medicine Foundation Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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