Active NPI
Sydney Diann Seyfert, NP
- Psychiatric/Mental Health Nurse Practitioner
- Missoula, MT
National Provider Identifier
1821394974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- NUR-RN-LIC-46667
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NUR-RN-LIC-46667 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60202570 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
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- Vancouver, WA
- NPI 1538412630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.