Individual provider Active NPI

Laura Elizabeth Driscoll, PA-C

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1144809864
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13580 Issued in MN
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

Updated by the provider on Nov 25, 2024

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 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

IdentifierTypeStateIssuer
1437150877OtherMNAALFA FAMILY CLINIC

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230530001003 MN Practitioner - Physician Assistant 8426415902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13580MNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.