Individual provider Active NPI

Joan A Vanduynhoven, RN BSN CNM

  • Registered Nurse
  • Butte, MT
National Provider Identifier
1922174317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN14715 Issued in MT
Practice address
25 West Front Street
Butte Family Planning
Butte, MT 59701
Phone
(406) 497-5080
Fax
(406) 497-5099
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN14715 MT Primary

Addresses

Primary practice location

25 West Front Street
Butte Family Planning
Butte, MT 59701

Mailing address

25 West Front Street
Butte, MT 59701
Phone (406) 497-5080

Other identifiers 2

IdentifierTypeStateIssuer
36260OtherMTBCBS
430222MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN14715MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922174317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WEST FRONT STREET",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "59701",
            "telephone_number": "406-497-5080",
            "fax_number": "406-497-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WEST FRONT STREET",
            "address_2": "BUTTE FAMILY PLANNING",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "59701",
            "telephone_number": "406-497-5080",
            "fax_number": "406-497-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUYNHOVEN",
        "first_name": "JOAN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN BSN CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN14715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36260",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430222",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.