AMBER VICTORIA WALKS OVER ICE (NPI# 1417388281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417388281 |
| Entity Type | Individual |
| Full Name | AMBER VICTORIA WALKS OVER ICE |
| Credential | RPH |
| Practice Address |
1 Hospital Road Crow Agency MT 59022-0000 |
| Practice Telephone | 4066383578 |
| Practice Fax Number | 4066383326 |
| Mailing Telephone | 4066383578 |
| Mailing Fax Number | 4066383326 |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2016-11-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 20988 | MT | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
PHA-PHA-LIC-2098 | MT | Pharmacy Service Providers |
| Street Address |
1 HOSPITAL ROAD |
| City | CROW AGENCY |
| State | MT |
| Zip Code | 59022-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407167141 | Steven K Rietz | Pharmacist | 1 Hospital Road, Usphs Indian Hospital Pharmacy, Crow Agency, MT 59022-0009 | 2010-06-28 |
| 1659403871 | Zachary R Pool | Pharmacist | 1 Hospital Road, Crow Agency, MT 59022 | 2007-03-12 |
| 1891832069 | Sherri A Yoder | Pharmacist | 1 Hospital Road, Crow Agency, MT 59022 | 2007-01-30 |
| 1992731566 | Lori Griffin Byron | Pediatrics | 1 Hospital Road, Crow Northern Cheyenne Indian Hospital, Crow Agency, MT 59022 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354135 | Robert He Does It | Counselor | 101 Baacheeitche Ave, Crow Agency, MT 59022 | 2018-04-30 |
| 1306334925 | Christine L. Good Luck | Counselor | 101 Baacheeitche Ave., Crow Agency, MT 59022 | 2018-04-30 |
| 1083140545 | Crow Nation Chr Health Dept. | Non-emergency Medical Transport (VAN) | 10069 South Heritage Rd, Crow Agency, MT 59022 | 2017-05-03 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1154860013 | Maria Kofas | Dietitian, Registered | South 7650 East 1010, Crow Agency, MT 59022 | 2017-02-13 |
| 1033599972 | Charles A Finley | Registered Nurse | 10110 S. 7650 E, Crow Agency, MT 59022 | 2015-06-05 |
| 1619356219 | Marjorie Sytsma | Registered Nurse | 10110 S 7650 East, Crow Agency, MT 59022 | 2015-05-28 |
| 1447536602 | Tina Joy Shutts | Registered Nurse | 10110 S Route 765 E, Crow Agency, MT 59022 | 2011-11-01 |
| 1417237108 | Barbara Jeanne O'hare | Registered Nurse | 10110s Route 765 East, Crow Agency, MT 59022 | 2011-08-25 |
| 1255633855 | Sandra Kay Montgomery | Registered Nurse | 10110 South, 7650 East, Crow Agency, MT 59022 | 2010-12-02 |
| Find all providers in zip 59022 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396174918 | Christopher Elizagaray | Pharmacist | 8 Primrose Ct, Kalispell, MT 59901-7437 | 2013-11-04 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1992310031 | Amy Sierer | Pharmacist | 900 Jackson St Ste A, Helena, MT 59601-3428 | 2020-09-15 |
| 1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
| 1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
| 1720609233 | Tawn Williams | Pharmacist | 419 Nucleus Ave, Columbia Falls, MT 59912-4007 | 2020-05-06 |
| 1245866367 | Kim I Dennehy | Pharmacist | 195 3rd Ave En, Kalispell, MT 59901 | 2020-03-20 |
| 1659928828 | Cody Maldonado | Pharmacist | 1233 N 30th St, Billings, MT 59101-0127 | 2019-08-22 |
| 1043870462 | Mary Mikeson | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-06-18 |
| 1659835593 | Lorraine Corra | Pharmacist | 3687 Veterans Drive, Fort Harrison, MT 59636-0190 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
| City | CROW AGENCY |
| Zip Code | 59022 |
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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.