CONVENIENCECARE CLINIC (NPI# 1639374382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639374382 |
Entity Type | Organization |
Organization Name | CONVENIENCECARE CLINIC |
Practice Address |
2419 W Main St Ste 2 Bozeman MT 59718-3813 |
Practice Telephone | 4069222750 |
Practice Fax Number | 4069222751 |
Mailing Telephone | 4069222750 |
Mailing Fax Number | 4069222751 |
Enumeration Date | 2007-06-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. MARYKAY THURSTON (OWNER) |
Authorized Official Telephone | 4069222750 |
Authorized Official Credential | FNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN9447 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 4308344 | 05 |
Street Address |
2419 W MAIN ST STE 2 |
City | BOZEMAN |
State | MT |
Zip Code | 59718-3813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
Find all providers in zip 59718 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427418128 | Ami Shetler | Nurse Practitioner | 2085 1/2 Watts Ln, Bozeman, MT 59718-1410 | 2016-02-24 |
1063060143 | Clarissa Drill | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2019-08-31 |
1891203790 | Kelsey Lau Elkins | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2018-01-14 |
1740739200 | Andrea Kate Lachniet | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2016-09-26 |
1699944736 | Ann O Galloway | Nurse Practitioner | 937 Highland Blvd, Ste 5410, Bozeman, MT 59715-6916 | 2008-02-22 |
1942499645 | Charlotte A Weiss | Nurse Practitioner | 931 Highland Blvd Ste 3130, Bozeman, MT 59715-6914 | 2007-10-18 |
1770618340 | Jennifer K Sofie | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2007-02-22 |
1417028853 | Sebastian C. White | Nurse Practitioner | 915 Highland Blvd, Bozeman, MT 59715-6902 | 2006-11-09 |
1063594182 | Keven Jean Comer | Nurse Practitioner | 925 Highland Blvd Ste 1100, Bozeman, MT 59715-6900 | 2006-10-19 |
1346334794 | Eileen Ralicke | Nurse Practitioner | 214 East Mendenhall, Gallatin Community Clinic, Bozeman, MT 59715 | 2006-10-02 |
Find all providers in BOZEMAN |
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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.