TAMMY L RALSTON (NPI# 1710960554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710960554 |
| Entity Type | Individual |
| Full Name | TAMMY L RALSTON |
| Credential | CRNP |
| Practice Address |
20 13th St W Havre MT 59501-5215 |
| Mailing Address |
20 13th St W Box 1231 Havre MT 59501-5215 |
| Practice Telephone | 4062657831 |
| Mailing Telephone | 4062657831 |
| Enumeration Date | 2005-11-25 |
| Last Update Date | 2016-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN529885L | PA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | SP008028 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
96754 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP008028 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750880639 | Tammy Lawrence Ralston | Family Medicine | 3901 Spicewood Springs Rd # 201, Austin, TX 78759 | 2018-02-07 |
| Street Address |
20 13TH ST W |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-5215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326689274 | Patrick A Thorsen | Pharmacist | 20 13th St W, Havre, MT 59501-5215 | 2019-10-02 |
| 1760709661 | Kevin Arthur Harada | Internal Medicine | 20 13th St W, Havre, MT 59501-5215 | 2010-05-01 |
| 1013247097 | Chris D Laviola | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2010-01-13 |
| 1255664249 | Christina B Yeagley | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2009-09-09 |
| 1346482916 | Shane Elliot Jenson | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2009-03-29 |
| 1992968366 | John G. Grow | Psychologist | 20 13th St W, Havre, MT 59501-5215 | 2008-07-07 |
| 1720249444 | Anita Marie Kellam | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2008-06-25 |
| 1881872778 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2008-02-04 |
| 1275740334 | Erin Ulano | Psychiatry & Neurology | 20 13th St W, Havre, MT 59501-5215 | 2007-05-17 |
| 1396896361 | Northern Montana Hospital | Clinic/Center | 20 13th St W, Havre, MT 59501-5215 | 2007-01-16 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902324635 | Abrianna Lee Johnson | Nurse Practitioner | 30 13th Street, P.o. Box 1231, Havre, MT 59501 | 2017-09-01 |
| 1497805428 | Beverly Marie Mayberry | Nurse Practitioner | 302 4th Ave, Havre, MT 59501-3654 | 2007-01-11 |
| 1831647619 | Patricia Alderson | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2016-09-21 |
| 1033574991 | Kathryn Elaine Olson | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2015-12-20 |
| 1538530027 | Julie Dellerba | Nurse Practitioner | 30 13th St, Havre, MT 59501-5222 | 2015-10-09 |
| 1427471424 | Lynne Nash | Nurse Practitioner | 110 13th St, Havre, MT 59501-5223 | 2014-01-27 |
| 1114361151 | Rosaula Nymphadacumos Lapine | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2013-04-22 |
| 1346482916 | Shane Elliot Jenson | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2009-03-29 |
| 1720249444 | Anita Marie Kellam | Nurse Practitioner | 20 13th St W, Havre, MT 59501-5215 | 2008-06-25 |
| 1346352895 | Connie S Reichelt | Nurse Practitioner | 110 13th St, Havre, MT 59501-5223 | 2006-08-31 |
| Find all providers in HAVRE | ||||
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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.