EVAN ROBERT THOMPSON (NPI# 1033735063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033735063 |
| Entity Type | Individual |
| Full Name | EVAN ROBERT THOMPSON |
| Credential | PMHNP-BC |
| Practice Address |
2835 Fort Missoula Rd Ste 203 Missoula MT 59804-7424 |
| Mailing Address |
911 Cheyenne Ln Missoula MT 59802-8822 |
| Practice Telephone | 4064441160 |
| Mailing Telephone | 4063965764 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NUR-APRN-LIC-159 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992214753 | Evan Matthew Thompson | Counselor | 270 Ohio River Blvd Ste B, Baden, PA 15005-1914 | 2017-09-25 |
| 1417488115 | Evan Thompson | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2017-03-23 |
| 1376941740 | Evan Thompson | Emergency Medical Technician, Basic | 25 Hall St, Concord, NH 03301-3471 | 2014-12-16 |
| 1649343484 | Evan C Thompson | Family Medicine | Off Hwy 191 Hospital Road, Chinle, AZ 86503 | 2006-11-17 |
| 1538252663 | Evan Shayne Thompson | Technician, Other | Comdt Cg-1122, U.S.coast Guard, 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0001 | 2006-10-02 |
| Street Address |
2835 FORT MISSOULA RD STE 203 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| 1710286596 | Home Health of Montana Private Services LLC | Clinic/Center | 29 Fort Missoula Road, Missoula, MT 59804 | 2011-03-20 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1093178626 | Kindnets Pllc | Nurse Practitioner | 622 W Bickford St, Missoula, MT 59801-3525 | 2016-03-31 |
| 1710598073 | Amanda Rae Holloron | Nurse Practitioner | 900 N Orange St Ste 102, Missoula, MT 59802-2951 | 2020-08-11 |
| 1669005526 | Heather Marie Judkins | Nurse Practitioner | 1315 Wyoming St, Missoula, MT 59801-1725 | 2020-02-19 |
| 1245885086 | Michael Charles Duchschere | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2019-08-08 |
| 1366922551 | Sheila Ann Hurd | Nurse Practitioner | 401 Railroad St W, Missoula, MT 59802-4109 | 2018-08-16 |
| 1619419405 | Erin Flavin | Nurse Practitioner | 1511 S Russell St, Missoula, MT 59801 | 2016-11-09 |
| 1952853624 | Kristin Billingsley Toney | Nurse Practitioner | 900 N Orange St, Suite 102, Missoula, MT 59802-2998 | 2016-10-28 |
| 1881009892 | Andrea Dugan Skrocki | Nurse Practitioner | 2831 Fort Missoula Rd, Suite 206, Missoula, MT 59804-7419 | 2014-06-27 |
| 1821394974 | Sydney Diann Seyfert | Nurse Practitioner | 821 S Orange St, Missoula, MT 59801-3833 | 2011-02-08 |
| Find all providers in MISSOULA | ||||
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| 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.