Individual provider Active NPI

Lynne J. Trauntvein, NP

  • Family Nurse Practitioner
  • Idaho Falls, ID
National Provider Identifier
1558624601
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1180A Issued in ID
Practice address
3355 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone
(208) 523-2080
Fax
(208) 523-2799
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1180A ID Primary

Addresses

Primary practice location

3355 S Holmes Ave
Idaho Falls, ID 83404-7981

Mailing address

3355 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone (208) 523-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20130416000094 ID Practitioner - Nurse Practitioner 8426294505 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1180AIDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flower Aston Nutrition LLC CurrentSince Feb 4, 2024 Accepting new patients
Family Medicine Hub PLLC CurrentSince Apr 1, 2019 Accepting new patients
Precision Family Medicine & Aesthetics LLC CurrentSince Oct 13, 2022 Accepting new patients
Mountain View Hospital LLC Past Accepting new patients

Locations

2001 S Woodruff Ave
Ste 4
Idaho Falls, ID 83404
Phone (208) 419-3271

2001 S Woodruff Ave
Ste 15B
Idaho Falls, ID 83404
Phone (208) 357-4633

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1558624601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-523-2080",
            "fax_number": "208-523-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-523-2080",
            "fax_number": "208-523-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUNTVEIN",
        "first_name": "LYNNE",
        "middle_name": "J.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1180A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.