Individual provider Active NPI

Erin Flavin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Libby, MT
National Provider Identifier
1619419405
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-105076 Issued in MT
Practice address
320 E 2ND St
Libby, MT 59923-2010
Phone
(406) 283-6900
Fax
(406) 293-6622
NPI assigned
Nov 9, 2016
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-105076 MT Primary

Addresses

Primary practice location

320 E 2ND St
Libby, MT 59923-2010

Mailing address

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20161227001014 MT Practitioner - Nurse Practitioner 5799066130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

320 E 2ND St
Libby, MT 59923-2010
Phone (406) 283-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-105076MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Community Health Center Inc CurrentSince Aug 1, 2024 Accepting new patients
Lincoln County Community Health Center, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Lincoln County Community Health Center, Inc Past Accepting new patients

Locations

308 E 3rd St
Libby, MT 59923
Phone (406) 293-3032

320 E 2nd St
Libby, MT 59923
Phone (406) 283-6900

Organizations & group practices 3

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": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1619419405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 2ND ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232010",
            "telephone_number": "406-283-6900",
            "fax_number": "406-293-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "ERIN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-105076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libby, MT

Sources for this page

Verify at the official NPI Registry.