MADONNA MCCONNELL (NPI# 1053858001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053858001 |
Entity Type | Individual |
Full Name | MADONNA MCCONNELL |
Practice Address |
603 1/2 Court Avenue Poplar MT 59255 |
Practice Telephone | 4067685364 |
Practice Fax Number | 4067685202 |
Mailing Telephone | 4067685364 |
Mailing Fax Number | 4067685202 |
Enumeration Date | 2017-01-30 |
Last Update Date | 2017-01-30 |
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) |
BBH-LAC-LIC3451 | MT | Behavioral Health & Social Service Providers |
Street Address |
603 1/2 COURT AVENUE |
City | POPLAR |
State | MT |
Zip Code | 59255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609316587 | Olivia Lorentz | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295200178 | Christine Bauer | Dietitian, Registered | 417 13th Avenue East, Poplar, MT 59255 | 2018-10-08 |
1871009548 | Chandice Yvonne Covington | Nurse Practitioner | 415 13th Ave East, Poplar, MT 59255 | 2017-12-18 |
1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
1366898181 | Rachel Hawker | Respiratory Therapist, Registered | 417 East 13th, Poplar, MT 59255 | 2016-05-11 |
1144623133 | Jennifer Tolman | Dental Hygienist | 417 13th Ave E, Poplar, MT 59255 | 2014-10-03 |
1346654167 | Wally Jean | General Practice | 107 H St W, Poplar, MT 59255 | 2014-06-19 |
1396159240 | Pierrette Toussaint | General Practice | 107 H. Street, Verne E. Gibbs Clinic, Poplar, MT 59255 | 2014-06-19 |
1154676658 | Pierre Louis Berger | Registered Nurse | 107 'h' Street East, Poplar, MT 59255 | 2012-07-20 |
Find all providers in zip 59255 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750821336 | Esther Escarcega | Counselor | 603 1/2 Court Ave, Poplar, MT 59255 | 2017-03-02 |
1003353186 | Eloise Youngman | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-26 |
1982150686 | George Blount IIi | Counselor | 309 13thave., Poplar, MT 59255 | 2016-09-01 |
1609316587 | Olivia Lorentz | Counselor | 603 1/2 Court Avenue, Poplar, MT 59255 | 2017-02-27 |
1376080234 | Donna Black Dog | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-30 |
1912444068 | Carolyn Adams | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-27 |
1770020836 | Gloria Chopper | Counselor | 603 1/2 Court Ave., Poplar, MT 59255 | 2017-01-27 |
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 |
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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.