JERA LYNN STEWART (NPI# 1245487784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245487784 |
| Entity Type | Individual |
| Full Name | JERA LYNN STEWART |
| Credential | PH.D. |
| Practice Address |
35401 Mission Drive St. Ignatius MT 59865 |
| Mailing Address |
P.o. Box 880 St. Ignatius MT 59865 |
| Practice Telephone | 4067453525 |
| Practice Fax Number | 4067453529 |
| Mailing Telephone | 4067453525 |
| Mailing Fax Number | 4067453529 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2015-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY-PSY-LIC-401 | MT | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 6301013364 | MI | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 401 | MT | Behavioral Health & Social Service Providers |
| Street Address |
35401 MISSION DRIVE |
| City | ST. IGNATIUS |
| State | MT |
| Zip Code | 59865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114486883 | Barbara Malia Kipp | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2019-03-13 |
| 1871005553 | Julie T.a. Smith | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2017-11-02 |
| 1487027413 | Timothy J. Gauthier | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-11-13 |
| 1700257474 | Sarin Mckenna | Dentist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-10-07 |
| 1760850689 | Heather-mae P. Bucich | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-09-09 |
| 1932587888 | Leslie S. Wells | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-05-12 |
| 1306239611 | Jamie L. Lozeau | Registered Nurse | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-03-11 |
| 1265823389 | Theresa H. Hardy | Radiologic Technologist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2015-02-11 |
| 1871839316 | Nicole Crouch | Dietitian, Registered | 35401 Mission Drive, St. Ignatius, MT 59865 | 2013-01-02 |
| 1750669677 | Jason Krumbeck | Physical Therapist | 35401 Mission Drive, St. Ignatius, MT 59865 | 2011-07-26 |
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| 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 | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 1477604882 | Brenda Kay Roche | Clinical Neuropsychologist | 1523 Wyoming Ave, Billings, MT 59102-4105 | 2007-01-13 |
| 1073662698 | James Verrill English | Clinical Neuropsychologist | 7 W 6th Ave Ste 4g, Helena, MT 59601-5072 | 2007-01-10 |
| 1619073327 | Cory Dean Hessel | Clinical Neuropsychologist | 400 15th Ave S, Great Falls, MT 59405-4375 | 2006-09-16 |
| 1538194659 | Debra Joy Sheppard | Clinical Neuropsychologist | 1655 Shiloh Rd Ste D, Billings, MT 59106-1726 | 2006-07-11 |
| 1346273968 | Montana Neurocare Pllc | Clinical Neuropsychologist | 2825 Fort Missoula Rd Ste 301, Missoula, MT 59804-7403 | 2006-07-08 |
| 1750323507 | Joseph K Mcelhinny | Clinical Neuropsychologist | 1643 Lewis Ave, Suite 7, Billings, MT 59102-4151 | 2006-06-12 |
| 1285685800 | Robert Velin | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2006-05-16 |
| 1043756323 | Aune Neuropsychological Services | Clinical Neuropsychologist | 3240 Dredge Dr, Helena, MT 59602-0548 | 2017-01-11 |
| 1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
| Find all providers with the same taxonomy | ||||
| City | ST. IGNATIUS |
| Zip Code | 59865 |
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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.