CRYSTAL L SKOVLY (NPI# 1760764054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760764054 |
| Entity Type | Individual |
| Full Name | CRYSTAL L SKOVLY |
| Credential | PAC |
| Practice Address |
1 Bobcat Circle Bozeman MT 59715-3380 |
| Mailing Address |
915 Highland Blvd Attn Pfs Credentialing Bozeman MT 59715-6902 |
| Practice Telephone | 4064144780 |
| Mailing Telephone | 4064145000 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2020-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 65940 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1760764054 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3406 Laramie Dr, Bozeman, MT 597182005 | 4065870122 | 8446562480 |
| Street Address |
1 BOBCAT CIRCLE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257699 | Keyton R Gines | Specialist/Technologist | 1 Bobcat Circle, Bozeman, MT 59717 | 2019-04-17 |
| 1215338082 | Jennifer Chiu | Specialist/Technologist | 1 Bobcat Circle, Bozeman, MT 59717 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1245757038 | Katherine Hammonds | Physician Assistant | Po Box 173260, Bozeman, MT 59717-3260 | 2017-08-23 |
| 1992147516 | Barbara Jean Neuman | Physician Assistant | 1600 Ellis St Ste 3b, Bozeman, MT 59715-8837 | 2013-07-24 |
| 1740532290 | Julia E Marsik | Physician Assistant | 1648 Ellis St Ste 301, Bozeman, MT 59715-8811 | 2012-10-09 |
| 1093979155 | Stephen Michael Cottle | Physician Assistant | 536 Cottonwood Rd., Suite 100, Bozeman, MT 59718 | 2008-07-17 |
| 1902972862 | Catherine Ina Ebelke | Physician Assistant | Swingle Student Health Center Montana State University, Bozeman, MT 59717-3260 | 2006-11-24 |
| 1750464467 | Scott M. Dreblow | Physician Assistant | 300 N. Willson Ave, Suite 703g, Bozeman, MT 59715 | 2006-10-24 |
| 1962597757 | Hannah Smith | Physician Assistant | 100 Swingle Building, Msu Bozeman, Bozeman, MT 59717 | 2006-10-04 |
| 1811001290 | Tennille Cybil Baker | Physician Assistant | 931 Highand Blvd, Ste 3130, Bozeman, MT 59715-6914 | 2006-08-19 |
| 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.