MRS. JENNIFER ANNE DURWARD (NPI# 1043503956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043503956 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ANNE DURWARD |
| Other Name | JENNIFER ANNE KNUDSON |
| Credential | APRN, PMHNP |
| Practice Address |
305 3rd Ave Ste 312 Havre MT 59501-3577 |
| Practice Telephone | 4069459019 |
| Practice Fax Number | 4069459019 |
| Mailing Telephone | 4069459019 |
| Mailing Fax Number | 4064300176 |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
100480 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
27449 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1740807502 | 05 | |
| MT | UNITED HEALTH CARE | 87729 | 01 |
| MT | OPTUM | 87729 | 01 |
| MT | PACIFIC SOURCE | 93029 | 01 |
| MT | INTERWEST | 84137 | 01 |
| MT | BLUE CROSS BLUE SHEILD | 892299098 | 01 |
| MT | ALLEGIANCE/CIGNA | 62308 | 01 |
| MT | FIRST CHOICE | 91131 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 3rd Ave Ste 312, Havre, MT 595013577 | 4069459019 | 4069459021 |
| Street Address |
305 3RD AVE STE 312 |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807502 | Laverdure Psychiatry, Pllc | Nurse Practitioner | 305 3rd Ave Ste 312, Havre, MT 59501-3577 | 2020-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718184 | Health Services Montana LLC | Hearing Instrument Specialist | Holiday Village Mall 1753 Hwy 2 Nw, Ste 45, Havre, MT 59501 | 2020-10-20 |
| 1487140398 | Matthew Pett | Registered Nurse | Northern Montana Hospital, 30 13th St, Havre, MT 59501 | 2018-07-03 |
| 1528586146 | Michaela Sarah Whitmore | Physician Assistant | 521 4th Street, Bullhook Community Health Center, Havre, MT 59501 | 2017-09-04 |
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1326584608 | Darlene Jo Sellers | Counselor | 642 North 6th Street, Havre, MT 59501 | 2017-01-11 |
| 1205245230 | Donald Harper | Pharmacist | 3510 Highway 2 West, Havre, MT 59501 | 2014-08-04 |
| 1912287152 | Tanya Mccullough | Registered Nurse | 20 13 St West, Havre, MT 59501 | 2011-08-19 |
| 1093952095 | Larry Wayne Fangsrud | Pharmacist | 3180 Hwy 2 W, Kmart Pharmacy, Havre, MT 59501 | 2009-01-13 |
| 1710124706 | Cindy Lee Brandon | Pharmacist | 3180 Hwy 2 West, Havre, MT 59501 | 2009-01-13 |
| 1437287406 | Janet M Trethewey | Specialist/Technologist | 300 W 11 St, Msu-northern, Havre, MT 59501 | 2007-03-01 |
| Find all providers in zip 59501 | ||||
| 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 |
|---|---|---|---|---|
| 1740807502 | Laverdure Psychiatry, Pllc | Nurse Practitioner | 305 3rd Ave Ste 312, Havre, MT 59501-3577 | 2020-06-28 |
| 1932220761 | Suzanne F. Lockwood | Nurse Practitioner | 312 3rd St, Center for Mental Health, Havre, MT 59501-3534 | 2007-04-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.