Julie Macgregor, PA-C, LE

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

EE-285937 Issued in ID

Practice address

82 S Baltic PL Ste 109
Meridian, ID 83642-5935

Phone

(086) 002-6792

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Idaho Surgical, LLC

  • Surgery Physician
  • Nampa, ID
  • NPI 1790340834
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1235565128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 S BALTIC PL STE 109",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "208-600-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S BALTIC PL STE 109",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425935",
            "telephone_number": "086-002-6792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGREGOR",
        "first_name": "JULIE",
        "credential": "PA-C, LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1613",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA165087",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "ID",
            "license": "EE-285937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lytle, FNP-C
• Paul Tyler Lytle, DMD
• Vanessa Macdonagh, CSFA
• Katrina Larene Mace
• Rebecca Mace
• Mack B. Stephenson, PH.D., CHTD
• Mark Macumber, MD
• Kathryn Maddux, PA-C
• Joseph Maggio, DPT
• Claire Magnolo, PA-C

• Other Technician in Meridian, ID
• Providers in Meridian, ID by specialty
• Other Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.