Individual provider Active NPI

Linda Rae Helgeland, RPH

  • Pharmacist
  • Twin Falls, ID
National Provider Identifier
1730454554
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
P4597 Issued in ID
Practice address
731 Pole Line Rd
Twin Falls, ID 83301-3036
Phone
(208) 736-1725
Fax
(208) 736-7318
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X P4597 ID Primary

Addresses

Primary practice location

731 Pole Line Rd
Twin Falls, ID 83301-3036

Mailing address

731 Pole Line Rd
Twin Falls, ID 83301-3036
Phone (208) 736-1725

Other identifiers 1

IdentifierTypeStateIssuer
P4597OtherIDPHARMACIST STATE LICENSE NUMBER

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)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
P4597IDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1730454554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013036",
            "telephone_number": "208-736-1725",
            "fax_number": "208-736-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013036",
            "telephone_number": "208-736-1725",
            "fax_number": "208-736-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELGELAND",
        "first_name": "LINDA",
        "middle_name": "RAE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P4597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST STATE LICENSE NUMBER",
            "identifier": "P4597",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.