Lynette Ann Zuidema Haun
Individual provider Active NPI Family Nurse Practitioner · Eureka, MT
NPI 1861134603 · NPPES record last updated Apr 12, 2022
Key facts
- NPI
- 1861134603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 132307 (MT)
- Practice address
- 304 Osloski Rd
Eureka, MT 59917-9217 - Phone
- (406) 297-3145
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
770 W Reserve Dr
Suite 3
Kalispell, MT 59901-2158
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220630002832 | MT | Practitioner - Nurse Practitioner | 7315327780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132307 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart & Hands Midwifery and Family Healthcare PLLC | Family | Current |
Accepting new patients |
Locations
770 W Reserve Dr
Ste 3
Kalispell, MT 59901
Phone (406) 300-4511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 132307 | MT | Yes |
Addresses
Primary practice location
304 Osloski Rd
Eureka, MT 59917-9217
Mailing address
4395 US Highway 93 W Unit 2
Whitefish, MT 59937-1759
Phone (541) 645-0288
Other providers in Eureka, MT
- Tammi Green
- Tiffany Gregg
- Grizzly Eye Center, PC
- Frank Robin Haidle
- Haines Drug Eureka, Inc.
- Melinda Diane Heinz
- Daphne Bailey Hollingsworth
- Willow Holm
- Home Sweet Home
- Glenn D Houser
All providers in Eureka, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.