DR. JENTRY ANN WHEATON (NPI# 1164920088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164920088 |
Entity Type | Individual |
Full Name | DR. JENTRY ANN WHEATON |
Credential | FNP-C |
Practice Address |
699 Farmhouse Ln Bozeman MT 59715 |
Mailing Address |
937 Highland Blvd Ste 5410 Bozeman MT 59715-6916 |
Practice Telephone | 4065566500 |
Mailing Telephone | 4064142400 |
Enumeration Date | 2018-01-25 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
139841 | MT | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
19508 W 100th Ter, Lenexa, KS 662208307 | 8168001308 |
Street Address |
699 FARMHOUSE LN |
City | BOZEMAN |
State | MT |
Zip Code | 59715 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649588963 | Jean Lydia Moylan | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2010-09-21 |
1114524956 | Kirsten Theresa Burkart | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-05 |
1518564541 | Stevie-leigh Danae Haughian | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2020-10-02 |
1609423003 | Karen Monica Patty | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2019-08-20 |
1962061887 | Amanda Jane Fahlstrom | Social Worker | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2019-06-13 |
1083182513 | Brooke Huffman | Registered Nurse | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-11-02 |
1053801894 | Larisa Lynn Hammond | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-05-17 |
1447748603 | Brandy Renee Houser | Social Worker | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-04-24 |
1841790524 | Melody Jackson | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715-9402 | 2018-02-19 |
1790291615 | Kassandra Haughton | Counselor | 699 Farmhouse Ln, Bozeman, MT 59715 | 2017-12-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
Find all providers in zip 59715 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
1154867521 | Emma Hoegh | Nurse Practitioner | 211 Montana Hall, Bozeman, MT 59717-3260 | 2017-01-10 |
1265806475 | Sheri Larue Bagley | Nurse Practitioner | 4644 Danube Ln, Bozeman, MT 59718-8095 | 2015-11-25 |
1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
1801164330 | Christina M. Tooley | Nurse Practitioner | 300 N Willson Ave Ste 2001, Bozeman, MT 59715-3572 | 2011-12-12 |
1851569438 | Margaret B Marsh | Nurse Practitioner | 1805 Oak St Ste 3, Bozeman, MT 59715 | 2008-02-15 |
1114093077 | Kimberly Ellingson Kotur | Nurse Practitioner | South 7th Ave, Swingle Student Health Service, Bozeman, MT 59717-3260 | 2006-11-24 |
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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.