Elizabeth Lynn

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

70114 Issued in ID

Practice address

827 W Prairie Ave Ste 206
Hayden, ID 83835-8459

Phone

(208) 261-2411

NPI assigned

Dec 10, 2020

Last updated

May 21, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2026 through Oct 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Heal PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hayden, ID
  • NPI 1992453468
  NPD Authorized official
• Heal SLC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • South Jordan, UT
  • NPI 1699415604
  Authorized official Same address or phone
• Heal Wa PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
  • NPI 1174268155
  NPD (past) Authorized official
• Verbena Group PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Spokane, WA
  • NPI 1033708250
  Authorized official Same address or phone
• State of Montana

  dba Montana Veterans Home

  • Skilled Nursing Facility
  • Columbia Falls, MT
  • NPI 1356351183
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1003412313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838771173",
            "telephone_number": "208-261-2411",
            "fax_number": "866-291-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 W PRAIRIE AVE STE 206",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838358459",
            "telephone_number": "208-261-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "881 W Baxter Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840958506",
            "country_code": "US",
            "telephone_number": "208-261-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "522 W Riverside Ave Ste N",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010580",
            "country_code": "US",
            "telephone_number": "208-261-2411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2105 112th Ave NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980042945",
            "country_code": "US",
            "telephone_number": "208-261-2411",
            "fax_number": "866-291-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 N 3rd St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838143400",
            "country_code": "US",
            "telephone_number": "208-261-2411",
            "fax_number": "866-291-4766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNN",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "11142452-4405",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61130526",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "APRN-179639",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071419",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "70114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherilyn Long
• Lookout Behavioral Health LLC
• Robert Lee Lovitt, PHARMACIST
• Carol Lowry, ACADC
• Brooke B Lunsford, LCSW
• Mary Jo Jo Lyons, RPH
• Sheila M Mack
• Aria Mangan
• Jared D Mangum, DC, MBA, LMT
• Gillian D. Maples, FNP

• Psychiatric/Mental Health Nurse Practitioner in Hayden, ID
• Providers in Hayden, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.