Gem Prep: Pocatello, LLC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

GEM PREP: POCATELLO, LLC

Practice address

1451 Jessie Clark LN
Pocatello, ID 83202-2787

Phone

(208) 877-1513

Fax

(208) 877-1713

NPI assigned

Aug 2, 2017

Last updated

Jul 21, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Bogar

Title

Director of Finance

Phone

(208) 877-1513

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1013431816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230086",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 JESSIE CLARK LN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832022787",
            "telephone_number": "208-877-1513",
            "fax_number": "208-877-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEM PREP: POCATELLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "BOGAR",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "208-877-1513"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Gault, DNP, FNP-C
• Renee Gault, DNP, PMHNP-BC
• Lorri D Gebo-Shaver, PHARMD
• Bryan Mark Gee, OTR/L, MS, OTD
• Cydnee L Gee, OTL
• Gem State Hospital Medicine Physicians LLC
• Genuine Medical Services LLC
• Rachel Erin Geoghegan, ATC
• Gail R. George, NURSE PRACTITIONER
• Mary Elizabeth Gerard, MD

• Local Education Agency (LEA) in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.