Active NPI
Diedra Bethune, APRN
- Nurse Practitioner
- Missoula, MT
National Provider Identifier
1598837270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN11641
- Practice address
- 219 East Main St
Missoula, MT 59802 - Phone
- (406) 728-5490
- Fax
- (406) 728-5497
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN11641 | MT | Primary |
Addresses
Primary practice location
219 East Main St
Missoula, MT 59802
Mailing address
2525 4TH Avenue North
Suite 201
Billings, MT 59101
Phone (406) 248-3637
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433449 | Medicaid | MT | |
| 37116 | Other | BCBS |
Other names 1
- Ms. Diedra Bethune Hoyt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN11641 | MT | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Planned Parenthood | Past | Accepting new patients | |
| Intermountain Planned Parenthood Inc | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Billings, MT
- NPI 1497064364
-
- Non-Surgical Family Planning Clinic/Center
- Billings, MT
- NPI 1134297179
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598837270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 4TH AVENUE NORTH",
"address_2": "SUITE 201",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-248-3637",
"fax_number": "406-254-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 EAST MAIN ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59802",
"telephone_number": "406-728-5490",
"fax_number": "406-728-5497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETHUNE",
"first_name": "DIEDRA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "RN11641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433449",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37116",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIEDRA",
"last_name": "HOYT",
"middle_name": "BETHUNE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.