Active NPI
Drew Erica Lakey
- Medical Physician Assistant
- Grants Pass, OR
National Provider Identifier
1609443589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 214110
- Practice address
- 1309 NE 6TH St
Grants Pass, OR 97526-1252 - Phone
- (541) 479-3367
- NPI assigned
- Jun 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 60671 | CA | |
| Medical Physician Assistant | 363AM0700X | 214110 | OR | Primary |
Addresses
Primary practice location
1309 NE 6TH St
Grants Pass, OR 97526-1252
Mailing address
4517 Radnor Ave
Lakewood, CA 90713-2550
Phone (562) 508-1089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1309 NE 6TH St
Grants Pass, OR 97526-1252
Phone (541) 479-3367
Hospital & facility affiliations
- Asante Three Rivers Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60671 | CA | MD | Medical Physician Assistant |
| 214110 | OR | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Laser Center PC, a Professional Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- drew@davidyoung.emadirect.md
Organizations & group practices 2
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.
-
- Specialist
- Grants Pass, OR
- NPI 1164560413
-
- Non-Pharmacy Dispensing Site
- Turlock, CA
- NPI 1356974059
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1609443589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4517 RADNOR AVE",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907132550",
"telephone_number": "562-508-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 NE 6TH ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975261252",
"telephone_number": "541-479-3367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAKEY",
"first_name": "DREW",
"middle_name": "ERICA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "60671",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "214110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.