PETRA STEPHANIE HACKLER (NPI# 1992078463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992078463 |
| Entity Type | Individual |
| Full Name | PETRA STEPHANIE HACKLER |
| Credential | MT |
| Practice Address |
669 Agency Main St Harlem MT 59526-9455 |
| Practice Telephone | 4063533100 |
| Practice Fax Number | 4063533229 |
| Mailing Telephone | 4063533100 |
| Mailing Fax Number | 4063533229 |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246QM0706X |
Spec/Tech, Pathology Specialization: Medical Technologist |
34109 | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMT LICENSE | 34109 | 01 |
| Street Address |
669 AGENCY MAIN ST |
| City | HARLEM |
| State | MT |
| Zip Code | 59526-9455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782773 | Brigid Q Morgan | Physician Assistant | 669 Agency Main St, Fort Belknap Health Clinic, Harlem, MT 59526 | 2006-03-02 |
| 1588274575 | Patricia Heide | Registered Nurse | 669 Agency Main St, Harlem, MT 59526-9455 | 2020-08-04 |
| 1033678412 | Michael J Moore | Dental Hygienist | 669 Agency Main St, Harlem, MT 59526-9455 | 2019-03-15 |
| 1124582515 | Lisa Marie Roseman | Dentist | 669 Agency Main St, Harlem, MT 59526-9455 | 2019-01-30 |
| 1104392570 | Sandy Filesteel | Registered Nurse | 669 Agency Main St, Harlem, MT 59526-9455 | 2018-10-23 |
| 1912438870 | Ijeoma C Uzoho | Pharmacist | 669 Agency Main St, Harlem, MT 59526-9455 | 2017-03-22 |
| 1356887814 | Pamela Wallack | Registered Nurse | 669 Agency Main St, Harlem, MT 59526-9455 | 2017-01-09 |
| 1316490022 | Janice Roth | Registered Nurse | 669 Agency Main St, Harlem, MT 59526-9455 | 2016-07-28 |
| 1811260383 | Fred Bullard | Technician, Pathology | 669 Agency Main St, Harlem, MT 59526-9455 | 2012-02-14 |
| 1730459207 | Brooke Elizabeth Leonard | Pharmacist | 669 Agency Main St, Harlem, MT 59526-9455 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558917385 | Karen Marie Reevis I | Counselor | 112 Arena Ave, Harlem, MT 59526 | 2019-08-16 |
| 1528614351 | Linda M Azure | Counselor | 122 Arena Ave., Harlem, MT 59526 | 2019-08-16 |
| 1770144529 | Charlie Bear IIi | Counselor | 122 Arena Ave, Harlem, MT 59526 | 2019-06-24 |
| 1629399423 | Cynthia Nicole Chennault | Dental Hygienist | 669 Agency Main Street, Harlem, MT 59526 | 2010-06-15 |
| 1194998757 | Monte A Healy | Registered Nurse | 456 Grosventre Ave, Harlem, MT 59526 | 2008-04-03 |
| 1043410285 | Harlem School District | Local Education Agency (LEA) | 610 1st Ave Se, Harlem, MT 59526 | 2007-07-24 |
| 1376749176 | Antonella Bella Lanza | Dentist | Fort Belknap Indian Community, 656 Agency Main Street, Harlem, MT 59526 | 2007-06-27 |
| 1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
| 1295943710 | Irma Faye Skunkcap | Counselor | 656 Agency Main Street, Harlem, MT 59526 | 2007-05-18 |
| 1457567679 | Bonnie Rae Lankford | Technician, Pathology | 345 Gros Ventre Ave, Harlem, MT 59526 | 2007-05-15 |
| Find all providers in zip 59526 | ||||
| Taxonomy Code | 246QM0706X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Medical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205038494 | Janet L Jansen | Spec/Tech, Pathology | 456 Groventre Ave, Harlem, MT 59526 | 2007-06-01 |
| 1104047257 | Reynaldo Almadin Jornacion | Spec/Tech, Pathology | Rr1 Box 67, Harlem, MT 59526 | 2007-05-02 |
| 1235394743 | Diane Noel Donahue | Spec/Tech, Pathology | Rr 1 Box 67, Harlem, MT 59526-9705 | 2008-07-23 |
| 1205058591 | Brooke Williamson Everest | Spec/Tech, Pathology | Rr1 Box 67, Harlem, MT 59526 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841546520 | Susan Carole Porter | Spec/Tech, Pathology | 550 Sixth Av N, Wolf Point, MT 59201-0729 | 2012-07-31 |
| 1154644888 | Dawn M Nagle | Spec/Tech, Pathology | 550 6th Ave. North, Wolf Point, MT 59201 | 2010-03-09 |
| 1639382682 | Krista O Wills | Spec/Tech, Pathology | Curry Health Center - University of Montana, 643 Eddy Ave, Missoula, MT 59812 | 2007-05-07 |
| 1538380175 | Bonna M Graham-hall | Spec/Tech, Pathology | 634 Eddy Ave., Missoula, MT 59812-6624 | 2007-05-01 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1871084368 | Rebecca Suzanne Dayton | Spec/Tech, Pathology | 550 6th Ave N, Wolf Point, MT 59201-6000 | 2018-05-21 |
| 1699136416 | Myrna Kampen | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| 1346601069 | Marcia Hafera | Spec/Tech, Pathology | 2900 4th Ave N, Billings, MT 59101-1266 | 2016-03-08 |
| 1588007959 | Mark Wray Korman | Spec/Tech, Pathology | 107 H Street East, Poplar, MT 59255-0067 | 2013-04-16 |
| 1629316955 | Crystal Dawn Decoteau | Spec/Tech, Pathology | 550 6th Ave North, Wolf Point, MT 59201 | 2013-01-22 |
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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.