HEADWATERS MENTAL HEALTH, PLLC (NPI# 1194200923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194200923 |
Entity Type | Organization |
Organization Name | HEADWATERS MENTAL HEALTH, PLLC |
Practice Address |
11 W Main St Ste 217 Belgrade MT 59714-3739 |
Practice Telephone | 4062723850 |
Mailing Telephone | 4062723850 |
Enumeration Date | 2018-09-27 |
Last Update Date | 2018-09-27 |
Authorized Official Name | DR. WADE G HILL (APRN) |
Authorized Official Telephone | 4062723850 |
Authorized Official Credential | DNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
11 W MAIN ST STE 217 |
City | BELGRADE |
State | MT |
Zip Code | 59714-3739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366991515 | Wade Hill | Nurse Practitioner | 11 W Main St Ste 217, Belgrade, MT 59714-3739 | 2016-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467982603 | Ryan Schwartzmeyer | Counselor | 129 Village Square Dr. Ste 103b, Belgrade, MT 59714 | 2017-06-19 |
1770016834 | Nicolais Cuyle | Counselor | 11 W Main St Ste 211, Belgrade, MT 59714 | 2017-04-06 |
1245615111 | Samantha Lee Doolittle | Speech-Language Pathologist | Mosaic Rehabilitation, 6325 Jackrabbit Ln #a, Belgrade, MT 59714 | 2015-07-21 |
1932521853 | Jazmin Price | Midwife | 101 Clinton Ln, Belgrade, MT 59714 | 2014-01-11 |
1750666871 | Melaney Swenson | Social Worker | 11 W Main St Ste B3, Belgrade, MT 59714 | 2011-10-20 |
1932338126 | Megan Elizabeth Hoover | Physical Therapist | 403 West Main, Suite B, Belgrade, MT 59714 | 2009-07-08 |
1033318530 | Prochiropractic, PC | Chiropractor | 8757 N Jackrabbit Lane, Belgrade, MT 59714 | 2007-07-13 |
1497872139 | Howard Steven Moore Jr. | Counselor | 206 North Broadway St., Belgrade, MT 59714 | 2007-03-26 |
1558422071 | Danny Douglas Satchell | Chiropractor | 321 West Main Street, Belgrade, MT 59714 | 2006-12-12 |
1700821980 | Cade Jason Taylor | Chiropractor | 129 Village Drive, Suite 104, Belgrade, MT 59714 | 2006-06-19 |
Find all providers in zip 59714 |
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 |
---|---|---|---|---|
1366991515 | Wade Hill | Nurse Practitioner | 11 W Main St Ste 217, Belgrade, MT 59714-3739 | 2016-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053940791 | Christina Louise Borst | Nurse Practitioner | 124 Main Ave N, Choteau, MT 59422-9410 | 2020-04-04 |
1073142717 | Tommie L Perusich, PC | Nurse Practitioner | 209 S Montana St Ste B3, Butte, MT 59701-1645 | 2020-04-04 |
1043845142 | Samuel R Nave | Nurse Practitioner | 211 Flathead Ave, Bozeman, MT 59718-6339 | 2020-03-09 |
1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
1386288694 | David Charles Jansch | Nurse Practitioner | 400 Conley Lake Rd, Deer Lodge, MT 59722-8708 | 2019-10-30 |
1255992129 | Huston Psychiatric Services LLC | Nurse Practitioner | 1806 11th Ave, Helena, MT 59601-4768 | 2019-06-21 |
1235799032 | Jenna Lynn Belobraidic Kuru | Nurse Practitioner | 3131 Oliver St, Bozeman, MT 59718-6066 | 2019-06-14 |
1467016683 | Lovell Mental Health | Nurse Practitioner | 841 E Center St, Dillon, MT 59725-3211 | 2019-04-23 |
1023586377 | Eleanor Stacey Combs | Nurse Practitioner | 101 Ponderosa Dr, Butte, MT 59701-7318 | 2018-11-05 |
1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
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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.