CHARLENE LAURA WARD (NPI# 1851640767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851640767 |
| Entity Type | Individual |
| Full Name | CHARLENE LAURA WARD |
| Other Name | CHARLENE LAURA MOORE |
| Credential | FNP-BC |
| Practice Address |
935 Highland Blvd Ste 2180 Bozeman MT 59715 |
| Mailing Address |
935 Highland Blvd Ste 2180 Bozeman MT 59715-6904 |
| Practice Telephone | 4064145512 |
| Mailing Telephone | 4064145512 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2019-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
100933 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
NUR-RN-LIC-47637 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
935 HIGHLAND BLVD STE 2180 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699718023 | Eric L Johnson | Emergency Medicine | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2006-06-14 |
| 1821611666 | Amy Spencer Katz | Registered Nurse | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2020-05-27 |
| 1770012643 | Dani Lynn Pallardy | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2017-06-05 |
| 1245678424 | Sara R Lemert | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2013-06-10 |
| 1861612558 | James Marshall | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2007-04-26 |
| 1689707887 | Kristi Rene Favor | Nurse Practitioner | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2007-03-14 |
| 1134278716 | Susan G Whittinghill | Physician Assistant | 935 Highland Blvd Ste 2180, Bozeman, MT 59715-6904 | 2007-01-10 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1154867521 | Emma Hoegh | Nurse Practitioner | 211 Montana Hall, Bozeman, MT 59717-3260 | 2017-01-10 |
| 1265806475 | Sheri Larue Bagley | Nurse Practitioner | 4644 Danube Ln, Bozeman, MT 59718-8095 | 2015-11-25 |
| 1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
| 1801164330 | Christina M. Tooley | Nurse Practitioner | 300 N Willson Ave Ste 2001, Bozeman, MT 59715-3572 | 2011-12-12 |
| 1851569438 | Margaret B Marsh | Nurse Practitioner | 1805 Oak St Ste 3, Bozeman, MT 59715 | 2008-02-15 |
| 1114093077 | Kimberly Ellingson Kotur | Nurse Practitioner | South 7th Ave, Swingle Student Health Service, Bozeman, MT 59717-3260 | 2006-11-24 |
| 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.