Active NPI
Lynn M Luginbuhl, MD
- Pediatric Infectious Diseases Physician
- Boise, ID
National Provider Identifier
1962491415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- M-13435
- Practice address
- 305 E Jefferson St
Boise, ID 83712-6273 - Phone
- (208) 381-7330
- Fax
- (208) 381-7331
- NPI assigned
- Oct 18, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0420009180 | VT | |
| Pediatric Infectious Diseases Physician | 2080P0208X | M-13435 | ID | Primary |
Addresses
Primary practice location
305 E Jefferson St
Boise, ID 83712-6273
Mailing address
446 Cobble Rd
Middlebury, VT 05753-9091
Phone (802) 318-3901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1005349 | Medicaid | VT |
Other names 1
- Lynn M Luginbuhl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080421000452 | VT | Practitioner - Pediatric Medicine | 8224078738 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0420009180 | VT | MD | Pediatrics Physician |
Interoperability endpoints
- lluginbuhl82157@direct.slhs.org
- lynnluginbuhl@direct.summit-healthcare.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1962491415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 COBBLE RD",
"city": "MIDDLEBURY",
"state": "VT",
"postal_code": "057539091",
"telephone_number": "802-318-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E JEFFERSON ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837126273",
"telephone_number": "208-381-7330",
"fax_number": "208-381-7331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGINBUHL",
"first_name": "LYNN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VT",
"license": "0420009180",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "ID",
"license": "M-13435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1005349",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "LUGINBUHL",
"middle_name": "M",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.