Laurie Gallegos, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA744 Issued in ID

Practice address

2195 Ironwood CT
Coeur D Alene, ID 83814-2628

Phone

(208) 769-1406

Fax

(208) 769-1430

NPI assigned

Oct 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Physician Assistant

Education

University of Colorado School of Medicine, Denver, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dirne Health Centers Inc 82 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurie.gallegos.1@16899.direct.athenahealth.com
• Direct secure messaging: laurie.gallegos.1@24259.direct.athenahealth.com

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.

• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1285686477

  ID, Physician Assistant

  Medicare reassignment Care Compare group NPD
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1194397240

  Physician Assistant

  Care Compare group NPD
• Dirne Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1053980110
  Care Compare group
• Dirne Health Centers Inc

  • Pharmacy
  • Coeur D Alene, ID
  • NPI 1326758095
  Care Compare group
• Dirne Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • St Maries, ID
  • NPI 1568910156
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1447305610
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Kellogg, ID
  • NPI 1487076048
  Care Compare group
• Dirne Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1689068413
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1255756730
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rathdrum, ID
  • NPI 1760736334
  Care Compare group
• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Post Falls, ID
  • NPI 1841696952
  Care Compare group
• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1215926258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 IRONWOOD CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142628",
            "telephone_number": "208-769-1406",
            "fax_number": "208-769-1430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 IRONWOOD CT",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142628",
            "telephone_number": "208-769-1406",
            "fax_number": "208-769-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "LAURIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Patrice Gagne
• Gaines Senior Services Dba Home Instead
• Stephen W Gajewski, LPC, M.S.C
• McKenzie Gale, DNP, ARNP, FNP-C
• Stephanie Ann Gallaher, ARNP
• Laiken Reann Gallis, M.S., CCC-SLP
• Kiana Danielle Gamble, DNP ,APRN-CNP,AGNP-C
• Sarah J Ganter
• William Francis Ganz, M.D.
• Erik Garcia, DO

• All providers in Coeur D Alene, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.