Active NPI
Patricia Raikes McLaughlin, CNP
- Women's Health Nurse Practitioner
- Sandpoint, ID
National Provider Identifier
1215961990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- N17955
- Practice address
- 420 N 2ND Ave Suite 200
Sandpoint, ID 83864-1552 - Phone
- (208) 263-2173
- Fax
- (208) 263-7441
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | N17955 | ID | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | NP204A | ID |
Addresses
Primary practice location
420 N 2ND Ave Suite 200
Sandpoint, ID 83864-1552
Mailing address
420 N 2ND Ave Suite 200
Sandpoint, ID 83864-1552
Phone (208) 263-2173
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004377100 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N17955 | ID | MD | Women's Health Nurse Practitioner |
| NP204A | ID | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandpoint Women's Health, P.a. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Sandpoint, ID
- NPI 1710910757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1215961990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N 2ND AVE SUITE 200",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641552",
"telephone_number": "208-263-2173",
"fax_number": "208-263-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N 2ND AVE SUITE 200",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838641552",
"telephone_number": "208-263-2173",
"fax_number": "208-263-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "PATRICIA",
"middle_name": "RAIKES",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "N17955",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "ID",
"license": "NP204A",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004377100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.