Blue Zone Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BLUE ZONE HEALTHCARE LLC

Practice address

40 E Little Ave
Driggs, ID 83422-5138

Phone

(813) 230-4241

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Lyudmyla Norgart, ARNPNPI 1487026290

Title

Director

Phone

(813) 230-4241

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyudmyla Norgart, NP-C

  • Nurse Practitioner
  • Driggs, ID
  • NPI 1487026290
  NPD Authorized official

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1033944228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225138",
            "telephone_number": "813-230-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E LITTLE AVE",
            "city": "DRIGGS",
            "state": "ID",
            "postal_code": "834225138",
            "telephone_number": "813-230-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ZONE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "NORGART",
        "authorized_official_first_name": "LYUDMYLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-230-4241",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew Belloli, OTR/L
• Lanie Benson
• Karlin L Bilcher, LPC, M. DIV
• Alexis Blaser, MS, RDN, LD
• Michael P Bleffert, PT
• Brent Blue, MD
• Michelle Bodenhamer, D.P.T.
• Liesje Chantal Bouwman, LMSW
• Halina Boyd
• Brent Blue MD

• All providers in Driggs, ID
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.