Individual provider Active NPI

Sydney Diann Seyfert, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1821394974
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-RN-LIC-46667 Issued in MT
Practice address
821 S Orange St
Missoula, MT 59801-3833
Phone
(406) 540-3556
Fax
(406) 926-1049
NPI assigned
Feb 8, 2011
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60202570 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-RN-LIC-46667 MT Primary

Addresses

Primary practice location

821 S Orange St
Missoula, MT 59801-3833

Mailing address

821 S Orange St
Missoula, MT 59801-3833
Phone (406) 540-3556

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
I20120412000718 MT Practitioner - Nurse Practitioner 0143498147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-46667MTMDPsychiatric/Mental Health Nurse Practitioner
AP60202570WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cowlitz Indian Tribe 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, 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": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1821394974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013833",
            "telephone_number": "406-540-3556",
            "fax_number": "406-926-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S ORANGE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013833",
            "telephone_number": "406-540-3556",
            "fax_number": "406-926-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEYFERT",
        "first_name": "SYDNEY",
        "middle_name": "DIANN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-08",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60202570",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-RN-LIC-46667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.