MRS. JEANETTE K BLYTHE (NPI# 1851760615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851760615 |
| Entity Type | Individual |
| Full Name | MRS. JEANETTE K BLYTHE |
| Practice Address |
35401 Mission Drive Saint Ignatius MT 59865-3649 |
| Mailing Address |
Po Box 427 St Ignatius MT 59865-0427 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067454409 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067454409 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1087 | MT | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
BBH-PCLC-LIC-306 | MT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 9901567 | 05 |
| Street Address |
35401 MISSION DRIVE |
| City | SAINT IGNATIUS |
| State | MT |
| Zip Code | 59865-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952402208 | Confederated Salish and Kootenai Tribes of The Flathead Reservation | Clinic/Center | 35401 Mission Drive, Saint Ignatius, MT 59865-9676 | 2006-09-26 |
| 1669502316 | Confederated Salish & Kootenai Tribes of The Flathead Reservation | Pharmacy | 35401 Mission Drive, Saint Ignatius, MT 59865 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366007544 | Donald Paul Roberts | Counselor | 109 First Avenue, St. Ignatius, MT 59865 | 2019-05-03 |
| 1518521657 | Maria Grieco | Social Worker | 76 3rd Ave, St. Ignatius, MT 59865 | 2019-04-24 |
| 1801363239 | Julie A. Cross | Dental Hygienist | 1 Woodscocks Way, St. Ignatius, MT 59865 | 2018-10-24 |
| 1346727468 | Shawn Michael Griffith | Dentist | 1 Woodcocks Way, St. Ignatius, MT 59865 | 2018-07-21 |
| 1063868743 | Natasha R. Sinclair | Registered Nurse | 308 Mission Dr., St. Ignatius, MT 59865 | 2016-05-11 |
| 1487067880 | Brenda Ferril | Chiropractor | 200 Mountain View St, St Ignatius, MT 59865 | 2014-06-04 |
| 1114248648 | Suzanne T Cannady | Pharmacist | #5 4th Ave E, Polson, MT 59865 | 2010-06-18 |
| 1083947055 | Sunburst Community Service Foundation, Inc | Clinic/Center | 109 1st Avenue, St Ignatius, MT 59865 | 2009-09-09 |
| 1396974572 | Jennifer Van Wagoner | Dentist | 35401 Mission Dr, St. Ignatius, MT 59865 | 2009-07-08 |
| 1124211297 | Gordon F Duff Gerrish | Psychologist | 56850 Fish Hatchery Road, St Ignatius, MT 59865 | 2007-08-22 |
| Find all providers in zip 59865 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299610 | Logan Thomas Gordon | Counselor | 308 Mission Dr, Saint Ignatius, MT 59865-9676 | 2020-09-08 |
| 1427612522 | Casey Delphine Sorrell | Counselor | 308 Mission Dr, Saint Ignatius, MT 59865-9676 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
| 1861004863 | Kevin Sean Stewart | Counselor | 22 W Park St, Butte, MT 59701-1714 | 2020-08-20 |
| 1689292351 | Cassandra Pendill | Counselor | 1700 S 72nd St W, Billings, MT 59106-3538 | 2020-07-09 |
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1831714963 | Aaron Anciaux | Counselor | 25155 Thompson Dr, Huson, MT 59846-8518 | 2020-06-15 |
| 1770108904 | Adrian Sagan Pllc | Counselor | 21 N Last Chance Gulch Ste 202, Helena, MT 59601-4108 | 2020-06-12 |
| 1427673177 | Jaye Daniele Hellerud | Counselor | 2120 3rd Ave N, Billings, MT 59101-2212 | 2020-06-09 |
| 1538797808 | Meira Aliza Alon | Counselor | 614 S 11th Ave, Bozeman, MT 59715-4368 | 2020-03-31 |
| 1699309997 | Sara Hepburn Lombardi-thorman | Counselor | 709 Park Ave, Whitefish, MT 59937-2831 | 2020-02-25 |
| 1265066500 | Masc LLC | Counselor | 491 Shaw Gulch Lane, Superior, MT 59872-0214 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT IGNATIUS |
| Zip Code | 59865 |
Please comment or provide details below to improve the information on MRS. JEANETTE K BLYTHE.
| 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.