NPIMap

Individual provider Active NPI

Linda M Haney, MD

  • Family Medicine Physician
  • Star, ID
National Provider Identifier
1093842031
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10622A Issued in WY
Practice address
10717 W State St
Star, ID 83669
Phone
(208) 302-6300
Fax
(208) 302-6355
NPI assigned
Feb 27, 2007
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1471950 ID
Family Medicine Physician 207Q00000X 10622A WY Primary

Addresses

Primary practice location

10717 W State St
Star, ID 83669

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151216002213 WY Practitioner - Family Practice 0749462331 Reassigns benefits to 1 organization
I20250917002719 ID Practitioner - Family Practice 0749462331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stgi Health, LLCGroup PAC ID 1850764226, 15 clinicians

Practice addresses (Care Compare)

10717 W State St
Star, ID 83669-6046
Phone (208) 302-6300

108 Albright Ave
Yellowstone National Park, WY 82190-9607
Phone (703) 578-6030

3025 W Cherry LN
Meridian, ID 83642-8531

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10622AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stgi Health, LLC CurrentSince Nov 24, 2022 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Oct 15, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Oct 15, 2025 Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients

Locations

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

10717 W State St
Star, ID 83669
Phone (208) 302-6300

Interoperability endpoints

  • Direct secure messaging: lhaney4697234@direct.trinity-health.org
  • Direct secure messaging: stgihealthllc.lindamhaney@154263.advancedmd-direct.com

Organizations & group practices 8

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1093842031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "83669",
            "telephone_number": "208-302-6300",
            "fax_number": "208-302-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "LINDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "1471950",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "10622A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star, ID

Sources for this page

Verify at the official NPI Registry.