SHALAE HERBERT JESSOP (NPI# 1477104792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477104792 |
| Entity Type | Individual |
| Full Name | SHALAE HERBERT JESSOP |
| Practice Address |
3687 Veterans Dr Fort Harrison MT 59636-9700 |
| Mailing Address |
Po Box 410021 Pinesdale MT 59841-0021 |
| Practice Telephone | 4064476187 |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
3687 VETERANS DR |
| City | FORT HARRISON |
| State | MT |
| Zip Code | 59636-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867181 | Johanna M Seliskar | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9703 | 2005-11-11 |
| 1841801230 | Kale Lemelin | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-08-11 |
| 1992315378 | Christy Ann Leland | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-07-31 |
| 1336766252 | Kelsey Wohlfrom | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-26 |
| 1811511678 | Brandon Reiff | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-06-07 |
| 1881229722 | Antonette Darlington | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-03-11 |
| 1922631357 | Jason Willhardt | Spec/Tech, Pathology | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-02-13 |
| 1083245773 | Traci Huynh | Counselor | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2020-01-31 |
| 1487299053 | Vance E Lavinder | Social Worker | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-11-07 |
| 1619523792 | Michael R Gantz | Pharmacist | 3687 Veterans Dr, Fort Harrison, MT 59636-9700 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003173717 | James Kevin Mowery | Registered Nurse | Va Montana Medical Center Emergency Department, 3687 Veterans Drive, Ft Harrison, MT 59636 | 2012-04-19 |
| 1639436983 | Kathleen Hulett | Registered Nurse | 3687 Veteran's Drive, Va Medical Center, Fort Harrison, MT 59636 | 2012-04-11 |
| 1437385093 | Madonna Therese Stepanek | Social Worker | 3684 Veterans Dr., Fort Harrison, MT 59636 | 2009-06-09 |
| 1083795553 | Anthony James Menichino | Surgery | 600 Williams Street, Fort Harrison, MT 59636 | 2006-10-18 |
| 1124109137 | Connie J Miller | Speech-Language Pathologist | Fort Harrision Montana, 1892 Williams St, Fort Harrison, MT 59636 | 2006-10-17 |
| 1346339389 | Dana Sue Nehring | Internal Medicine | 1892 William St, Fort Harrison, MT 59636 | 2006-10-11 |
| 1780772921 | Beverly Ann Sickert-mchugh | Nurse Practitioner | Fort Harrison Vamc, Fort Harrison, MT 59636 | 2006-10-11 |
| 1366540460 | Gregory Ross Johnson | Surgery | 1892 Williams St., Department of Surgery (112) Va Montana Healthcare, Fort Harrison, MT 59636 | 2006-09-20 |
| 1356459085 | Kurt E Werner | Family Medicine | 1892veterans Way, Va Hospital, Fort Harrison, MT 59636 | 2006-08-25 |
| 1588771604 | Susan Ann Askin | Internal Medicine | 1500 Williams St, Fort Harrison, MT 59636 | 2006-08-24 |
| Find all providers in zip 59636 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573643 | Janet Marie Mohler | Technician | 145 Parkridge Dr, Kalispell, MT 59901-2596 | 2020-06-23 |
| 1598306110 | Trina Dawn Zak | Technician | 1227 Blue Slide Rd., Thompson Falls, MT 59873 | 2019-10-04 |
| 1407227655 | Mavis Dillman | Technician | 1069 Grant Dr, Great Falls, MT 59404-6222 | 2015-10-14 |
| 1164716684 | Paula Denise Dickson | Technician | 3165 Eastview Rd, East Helena, MT 59635-3042 | 2011-06-01 |
| 1912236621 | Mary Jean Mcwhorter | Technician | 2103 Gold Rush Ave, Helena, MT 59601-5863 | 2009-12-09 |
| 1568665651 | Linda Macy | Technician | 470 Clearview Drive, Corvallis, MT 59828 | 2007-06-07 |
| 1700313525 | Amira Bolden | Technician | 607 Sw Higgins Ave, 607 Sw Higgins, Missoula, MT 59803-1468 | 2017-05-11 |
| 1467989285 | Ciara Gilchrist | Technician | 607 Sw Higgins Ave, 607 Sw Higgins, Missoula, MT 59803-1468 | 2017-05-11 |
| 1578687752 | Nightingale Nursing Services, Inc | Technician | 100 Consumer Direct Way, Missoula, MT 59808-5037 | 2007-03-16 |
| City | FORT HARRISON |
| Zip Code | 59636 |
Please comment or provide details below to improve the information on SHALAE HERBERT JESSOP.
| 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.