Individual provider Active NPI

Lynn M Luginbuhl, MD

  • Pediatric Infectious Diseases Physician
  • Boise, ID
National Provider Identifier
1962491415
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
M-13435 Issued in ID
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

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1005349MedicaidVT

Other names 1

  • Lynn M Luginbuhl Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080421000452 VT Practitioner - Pediatric Medicine 8224078738

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420009180VTMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: lluginbuhl82157@direct.slhs.org
  • Direct secure messaging: 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

Verify at the official NPI Registry.