Active NPI
Laura Elizabeth Driscoll, PA-C
- Physician Assistant
- Saint Paul, MN
National Provider Identifier
1144809864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13580
- Practice address
- 3100 Kennard St Ste 230
Saint Paul, MN 55109-5465 - Phone
- (651) 397-0570
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13580 | MN | Primary |
Addresses
Primary practice location
3100 Kennard St Ste 230
Saint Paul, MN 55109-5465
Mailing address
3100 Kennard St Ste 230
Saint Paul, MN 55109-5465
Phone (651) 397-0570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437150877 | Other | MN | AALFA FAMILY CLINIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.aalfafamily.com/ | Direct | AALFA Family Practice PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13580 | MN | MD | Physician Assistant |
Interoperability endpoints
- aalfaobgyn.lauradriscoll@155477.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Saint Paul, MN
- NPI 1457042137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1144809864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 KENNARD ST STE 230",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551095465",
"telephone_number": "651-397-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 KENNARD ST STE 230",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551095465",
"telephone_number": "651-397-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRISCOLL",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AALFA FAMILY CLINIC",
"identifier": "1437150877",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.aalfafamily.com/",
"affiliation": "Y",
"affiliationName": "AALFA Family Practice PA",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4465 White Bear Pkwy",
"city": "White Bear Lake",
"state": "MN",
"country_code": "US",
"postal_code": "551107623",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.