MS. LARA KARINA GANNON PA-C
NPI 1558310086
Physician Assistant - Surgical in Lexington, KY

Active since May 10, 2006PECOS Enrolled
1101 VETERANS DRIVE, VA MEDICAL CENTER, LEXINGTON, KY 40502(859) 324-5941 Get Directions Write a Review

NPPES record last updated: August 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lara Karina Gannon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LARA KARINA GANNON PA-C (NPI 1558310086) is an individual surgical provider in Lexington, Kentucky and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558310086
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. LARA KARINA GANNONCredential: PA-C
Location Address1101 VETERANS DRIVE, VA MEDICAL CENTERLexington, KY 40502-2236
Mailing Address103 Patrick Henry CtDanville, KY 40422-1788 · (859) 324-5941
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 15, 2013
NPI 1558310086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1101 VETERANS DRIVE, Lexington, KY 40502

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Lara Karina Gannon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Emergency)
1101 VETERANS DRIVE
LEXINGTON, KY 40502
Nurse Anesthetist, Certified Registered
1101 VETERANS DRIVE
LEXINGTON, KY 40502
Nurse Practitioner (Family)
1101 VETERANS DRIVE
LEXINGTON, KY 40502
General Acute Care Hospital
1101 VETERANS DRIVE
LEXINGTON, KY 40502
Social Worker (Clinical)
1101 VETERANS DRIVE, VA MEDICAL CENTER
LEXINGTON, KY 40502
Social Worker (Clinical)
1101 VETERANS DRIVE
LEXINGTON, KY 40502
Social Worker (Clinical)
1101 VETERANS DRIVE
LEXINGTON, KY 40502
Internal Medicine
1101 VETERANS DRIVE, DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
LEXINGTON, KY 40502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lara Gannon's NPI number?

The NPI number for Lara Gannon is 1558310086. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Lara Gannon located?

Lara Gannon practices at 1101 Veterans Drive VA Medical Center, Lexington, KY 40502. The listed phone number is (859) 324-5941.

What is Lara Gannon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lara Gannon enrolled in Medicare?

Yes. Lara Gannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lara Gannon was last updated on August 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.