Individual provider Active NPI

Dayna K Thergesen, NP

  • Pediatric Nurse Practitioner
  • Butte, MT
National Provider Identifier
1831296706
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN21401 Issued in MT
Practice address
445 Centennial Ave
Butte, MT 59701-2870
Phone
(406) 723-4075
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN21401 MT Primary

Addresses

Primary practice location

445 Centennial Ave
Butte, MT 59701-2870

Mailing address

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

Other identifiers 1

IdentifierTypeStateIssuer
000373700OtherMTBCBS

Other names 1

  • Ms. Dayna K Begley Former name

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
I20180726002833 MT Practitioner - Nurse Practitioner 8921319450 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN21401MTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Jun 12, 2018 Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc CurrentSince Jun 12, 2018 Accepting new patients
Ruby Valley Hospital Past Accepting new patients
Butte Silver Bow Primary Health Care Clinic Inc Past Accepting new patients
Ruby Valley Hospital Past Accepting new patients

Locations

445 Centennial Ave
Butte, MT 59701
Phone (406) 723-4075

125 E Glendale St
Dillon, MT 59725
Phone (406) 683-2316

Interoperability endpoints

  • Direct secure messaging: dleavens100209@direct.ochin.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1831296706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERGESEN",
        "first_name": "DAYNA",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MT",
            "license": "RN21401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000373700",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYNA",
            "last_name": "BEGLEY",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.