Individual provider Active NPI

Taryn Michelle Grattic, PA

  • Physician Assistant
  • Coeur d'Alene, ID
National Provider Identifier
1093073926
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-982 Issued in ID
Practice address
214 W Sunset Ave
Coeur D Alene, ID 83815-8305
Phone
(208) 758-7878
Fax
(800) 649-4171
NPI assigned
Apr 28, 2012
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-982 ID Primary

Addresses

Primary practice location

214 W Sunset Ave
Coeur D Alene, ID 83815-8305

Mailing address

214 W Sunset Ave
Coeur D Alene, ID 83815-8305
Phone (208) 758-7878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, shared by 11 NPIs, 82 clinicians

Practice addresses (Care Compare)

1090 W Park PL
Coeur D Alene, ID 83814-2785
Phone (208) 292-0290

1106 W Ironwood Dr
Coeur D Alene, ID 83814-2480

16760 N Hwy 41
Rathdrum, ID 83858-8715
Phone (208) 620-5250

925 E Polston Ave
Post Falls, ID 83854-9049
Phone (208) 620-5250

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-982IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Physician Assistant CurrentSince Nov 1, 2014 Accepting new patients
Compass Family Practice CurrentSince Apr 14, 2026 Accepting new patients
Dirne Health Centers, Inc. Physician Assistant CurrentSince Nov 1, 2014 Accepting new patients
Dirne Health Centers Inc Physician Assistant Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

214 W Sunset Ave
Coeur D Alene, ID 83815
Phone (208) 758-7878

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

Interoperability endpoints

  • Direct secure messaging: taryn.grattic.1@16899.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1093073926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W SUNSET AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158305",
            "telephone_number": "208-758-7878",
            "fax_number": "800-649-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W SUNSET AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158305",
            "telephone_number": "208-758-7878",
            "fax_number": "800-649-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATTIC",
        "first_name": "TARYN",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.