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

Lauren Boudreaux

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891379095

Lauren Boudreaux is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2021, 5 years ago. Practices with University Medical Associates of the Medical University of South Carol, a 1,640-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-4001
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Greene St, Columbia, SC 29208-4001 — (843) 259-1069

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 25748 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (SC)

Record details

NPI number1891379095
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2021
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Medical Associates Of The Medical University Of South Carol — 1640 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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