Individual provider Active NPI

Lynelle Nancy Noisy Hawk, MD

  • Family Medicine Physician
  • Longview, WA
National Provider Identifier
1881894152
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10410 Issued in ND
Practice address
PO Box 2429
Longview, WA 98632-8486
Phone
(360) 353-9494
NPI assigned
Jul 24, 2007
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10410 ND Primary

Addresses

Primary practice location

PO Box 2429
Longview, WA 98632-8486

Mailing address

6944 N Madison Circle
Ridgefield, WA 98642
Phone (406) 679-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080508000803 TX Practitioner - Family Practice 8325127822 Reassigns benefits to 2 organizations
I20150716000976 ND Practitioner - Family Practice 8325127822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cowlitz Indian TribeGroup PAC ID 8820030133, 26 clinicians

Practice addresses (Care Compare)

1044 11TH Ave
Longview, WA 98632-2506
Phone (360) 575-3314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
White Earth Indian Health Center CurrentSince Nov 1, 2020 Accepting new patients
Cowlitz Indian Tribe CurrentSince Jun 3, 2024 Accepting new patients
Pine Point Health Station Current Accepting new patients
Sanford Bismarck CurrentSince May 16, 2015 Accepting new patients
Naytahwaush Health Center CurrentSince Nov 1, 2020 Accepting new patients
Cowlitz Indian Tribe CurrentSince Jun 3, 2024 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Dec 1, 2014 Accepting new patients
Sanford Bismarck Family Medicine CurrentSince May 16, 2015 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients
Fort Yates Indian Health Service Hospital Past Accepting new patients
Cowlitz Indian Tribe Past Accepting new patients

Locations

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000

1000 Davis Pl
DuPont, WA 98327
Phone (206) 721-5170

1044 11th Ave
Longview, WA 98632
Phone (360) 575-3314

900 Fir St
Longview, WA 98632
Phone (360) 353-9422

15455 65th Ave S
Tukwila, WA 98188
Phone (206) 721-5170

6450 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 466-5012

7700 NE 26th Ave
Vancouver, WA 98665
Phone (360) 397-8228

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1881894152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6944 N MADISON CIRCLE",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "98642",
            "telephone_number": "406-679-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986328486",
            "telephone_number": "360-353-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOISY HAWK",
        "first_name": "LYNELLE",
        "middle_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, WA

Sources for this page

Verify at the official NPI Registry.