SYDNEY BLAIR (NPI# 1013310655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013310655 |
| Entity Type | Individual |
| Full Name | SYDNEY BLAIR |
| Practice Address |
699 Farmhouse Ln Bozeman MT 59715-9402 |
| Practice Telephone | 4065566500 |
| Practice Fax Number | 4065228361 |
| Mailing Telephone | 4065566500 |
| Mailing Fax Number | 4065228361 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
NUR-RN-LIC-75968 | MT | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972577484 | Sydney P Blair | Social Worker | 228 17th Ave Nw, Center for Mental Health/cmr High School, Great Falls, MT 59404-1807 | 2006-02-14 |
| Street Address |
699 FARMHOUSE LN |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-9402 |
| 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 |
| 1164920088 | Jentry Ann Wheaton | Nurse Practitioner | 699 Farmhouse Ln, Bozeman, MT 59715 | 2018-01-25 |
| Find all providers in the same location | ||||
| 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 | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538660097 | Karen Jean Johnson | Registered Nurse | 209 N 10th St Ste A, Hamilton, MT 59840-2357 | 2018-02-21 |
| 1679901037 | Matthew Moeser | Registered Nurse | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2013-10-23 |
| 1881750115 | Jerri Lyn Kettman | Registered Nurse | Fort Harrison Vamc, 1892 Williams Street, Fort Harrison, MT 59636 | 2006-12-29 |
| 1902985419 | Kathleen A Dolezal | Registered Nurse | 616 Helena Ave, Helena, MT 59601-3654 | 2006-11-03 |
| 1356420863 | Kathleen A Dolezal Aprn PC | Registered Nurse | 616 Helena Ave, Helena, MT 59601-3654 | 2006-11-03 |
| 1750473831 | Ann E Fischer | Registered Nurse | 1245 N 29th St, Billings, MT 59101-0122 | 2006-09-28 |
| 1740203827 | Julie Ann Boehler | Registered Nurse | 1245 N 29th St, Billings, MT 59101 | 2006-07-26 |
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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.