Individual provider Active NPI

Lyudmyla Norgart, NP-C

  • Nurse Practitioner
  • Driggs, ID
National Provider Identifier
1487026290
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
75652 Issued in ID
Practice address
40 E Little Ave
Driggs, ID 83422-5138
Phone
(208) 354-8220
Fax
(208) 561-7457
NPI assigned
Oct 21, 2015
Last updated
May 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 289216 MT
Nurse Practitioner 363L00000X 75652 ID Primary
Nurse Practitioner 363L00000X 55606 WY
Nurse Practitioner 363L00000X 9379318 FL

Addresses

Primary practice location

40 E Little Ave
Driggs, ID 83422-5138

Mailing address

PO Box 967
Victor, ID 83455-0967
Phone (813) 230-4241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170103000417 FL Practitioner - Nurse Practitioner 9830470079 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9379318FLMDNurse Practitioner
75652IDMDNurse Practitioner
289216MTMDNurse Practitioner
55606WYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Zone Healthcare LLC Nurse Practitioner CurrentSince Dec 8, 2024 Accepting new patients
Sunset Point Medical Associates Inc CurrentSince Aug 19, 2019 Accepting new patients
Robert a. Norman, D.O., P.a. CurrentSince Mar 1, 2024 Accepting new patients
Dermatology and Allergies Clinic at Teton Valley PLLC Nurse Practitioner CurrentSince Dec 8, 2024 Accepting new patients
Robert a. Norman, D.O., P.a. PastSince Mar 1, 2024 Accepting new patients

Locations

3820 Tampa Rd
Ste 202
Palm Harbor, FL 34684
Phone (727) 785-4540

9550 US Highway 19
Ste 20
Port Richey, FL 34668
Phone (727) 310-0188

10422 US Highway 301 S
Riverview, FL 33578
Phone (813) 374-9984

10820 Sheldon Rd
Tampa, FL 33626
Phone (813) 886-7673

7519 Paula Dr
Tampa, FL 33615
Phone (813) 884-1478

40 E Little Ave
Driggs, ID 83422
Phone (208) 354-8220

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1487026290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "VICTOR",
            "state": "ID",
            "postal_code": "834550967",
            "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": "208-354-8220",
            "fax_number": "208-561-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORGART",
        "first_name": "LYUDMYLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "289216",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "75652",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WY",
            "license": "55606",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9379318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Driggs, ID

Sources for this page

Verify at the official NPI Registry.