Laura M Duty, M.D.
Individual provider Active NPI Pediatrics Physician · Pocatello, ID
NPI 1992950802 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1992950802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- M-11356 (ID)
- Practice address
- 1151 Hospital Way
BLDG. F
Pocatello, ID 83201 - Phone
- (208) 232-1443
- Fax
- (208) 239-3434
- NPI assigned
- Nov 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150713001046 | ID | Order and Referring Only - Pediatric Medicine |
9537471016 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Children & Adolescent Clinic | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lduty261960@ahs.direct-ci.com
- admin@pocatellochildren.opdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M-11356 | ID | Yes |
Addresses
Primary practice location
1151 Hospital Way
BLDG. F
Pocatello, ID 83201
Mailing address
1151 Hospital Way
BLDG. F
Pocatello, ID 83201
Phone (208) 232-1443
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808342900 | Medicaid | ID |
Other names
- Laura Feist
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@pocatellochildren.opdirect.net |
Other providers in Pocatello, ID
- Katina Inez Dunn
- Julia Katherine Duran
- Amber Durrant
- Victoria Kate Bloomfield Durrant
- Rhonda Lynn Dutcher-Barfuss
- Edith A Dvorak
- Deanna C. Dye
- Aaron M. Eakman
- Heather Eames
- Earl C Chester Jr. MD PA
All providers in Pocatello, ID · Pediatrics Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.