DIEDRA BETHUNE


Address: 219 East Main St, Missoula, MT 59802
Phone: 4067285490

DIEDRA BETHUNE (NPI# 1598837270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598837270
Entity Type Individual
Full Name DIEDRA BETHUNE
Other Name MS. DIEDRA BETHUNE HOYT
Credential APRN
Practice Address 219 East Main St
Missoula
MT 59802
Mailing Address 2525 4th Avenue North
Suite 201
Billings
MT 59101
Practice Telephone 4067285490
Practice Fax Number 4067285497
Mailing Telephone 4062483637
Mailing Fax Number 4062549330
Enumeration Date 2006-11-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner RN11641 MT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
BCBS 37116 01
MT 433449 05

Office Location

Street Address 219 EAST MAIN ST
City MISSOULA
State MT
Zip Code 59802

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154945921 Montana Endoscopy Center, Pllc Clinic/Center 1930 W Broadway, Ste B, Missoula, MT 59802 2020-06-08
1194364091 Tommie Lynn Perusich Nurse Practitioner 1120 Cedar St., Missoula, MT 59802 2019-12-26
1386122752 The Hope Health Alliance, Inc. Case Management 314 White House Ln, Missoula, MT 59802 2018-07-30
1881181444 Carol Anne Lesser Massage Therapist 1918 Birch St, Missoula, MT 59802 2018-04-19
1528587581 Missoula Aids Fund, Inc. Clinic/Center 1500 W. Broadway Suite A, Missoula, MT 59802 2017-09-11
1942740667 Gabrielle Shulman Counselor 415 N Higgins Ave Ste 14, Missoula, MT 59802 2017-02-28
1053798736 Endurance Physio Clinic/Center 214 E. Main St, Missoula, MT 59802 2015-05-01
1720481971 Anna Golding Counselor 1325 Wyoming Street, Missoula, MONTANA 59802 2014-10-02
1003255803 Jennifer Dawn Danielson Speech-Language Pathologist 2408 Duncan Drive, Missoula, MT 59802 2013-06-14
1437595725 Partnership Health Center Inc Clinic/Center 1150 Sherwood St, Missoula, MT 59802 2013-05-14
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558884064 Sharon Marie Herndon Nurse Practitioner 2230 N Reserve St Ste 402, Missoula, MT 59808 2017-07-18
1083015242 Arlon Harris Bennett Nurse Practitioner 2230 27th Ave Ste 3, Missoula, MT 59804-5128 2014-09-08
1750550943 Mary E Huddle Nurse Practitioner 601 W Spruce St Ste C, Occupational Health Services, St. Patrick Hospital, Missoula, MT 59802-4047 2008-02-21
1053407981 Shelley Smith Otoupalik Nurse Practitioner 7473 Grooms Rd, Missoula, MT 59808-9798 2006-10-05
1255356291 Benjamin J Miller Nurse Practitioner 2120 S Reserve St # 133, Missoula, MT 59801-6451 2006-07-12
1982672655 Eric E Edwards Nurse Practitioner 401 Railroad St W, Missoula, MT 59802-4109 2006-03-09
1174154108 Heidi Lynn Waits Nurse Practitioner 2875 Tina Ave, Missoula, MT 59808-1581 2020-01-29
1205394764 Maria Kelly Nurse Practitioner 2901 Brooks St, Missoula, MT 59801-7703 2019-03-04
1689168049 Kacia Bundle Nurse Practitioner 500 W Broadway St, Missoula, MT 59802-4008 2018-06-19
1811497076 Marnie Jean Deschamps Nurse Practitioner 900 N Orange St Ste 203, Missoula, MT 59802-2951 2018-02-14
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City MISSOULA
Zip Code 59802

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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