KATHLEEN A DOLEZAL (NPI# 1902985419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902985419 |
Entity Type | Individual |
Full Name | KATHLEEN A DOLEZAL |
Credential | APRN PC |
Practice Address |
616 Helena Ave Helena MT 59601-3654 |
Mailing Address |
616 Helena Ave Ste 301 Helena MT 59601-3654 |
Practice Telephone | 4064423323 |
Mailing Telephone | 4064423323 |
Enumeration Date | 2006-11-03 |
Last Update Date | 2018-06-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
17403 | MT | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
17403 | MT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 4302479 | 05 |
Street Address |
616 HELENA AVE |
City | HELENA |
State | MT |
Zip Code | 59601-3654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316022163 | Randall Roy Fuhrmann | Counselor | 616 Helena Ave, Suite 301, Helena, MT 59601-3654 | 2006-10-27 |
1902203649 | Tracie Dahl | Counselor | 616 Helena Ave, Ste 206, Helena, MT 59601-3654 | 2014-11-24 |
1356641740 | Rebecca A. Hargis | Counselor | 616 Helena Ave, Suite 104, Helena, MT 59601-3654 | 2010-11-01 |
1265667489 | Christine D Addison | Marriage & Family Therapist | 616 Helena Ave, Helena, MT 59601-3654 | 2009-05-18 |
1780832626 | Megan Helene Marsh | Counselor | 616 Helena Ave, Suite 305, Helena, MT 59601-3654 | 2008-09-04 |
1861665259 | Jeffrey Scott Ullrey | Counselor | 616 Helena Ave, Suite 305, Helena, MT 59601-3654 | 2008-04-08 |
1972634731 | Constance Marie Preston | Counselor | 616 Helena Ave, Suite 305, Helena, MT 59601-3654 | 2007-03-07 |
1114074598 | Lori R Kopp | Social Worker | 616 Helena Ave, Suite 305, Helena, MT 59601-3654 | 2007-01-05 |
1356416218 | Eric Jonathan Wahler | Counselor | 616 Helena Ave, #301, Helena, MT 59601-3654 | 2006-11-22 |
1356420863 | Kathleen A Dolezal Aprn PC | Registered Nurse | 616 Helena Ave, Helena, MT 59601-3654 | 2006-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208957 | Tammara Ann Rosenleaf | Counselor | 25 South Ewing St, Suite 525, Helena, MT 59601 | 2020-09-04 |
1386287795 | Intermountain Chiropractic | Chiropractor | 62 S Last Chance Gulch St. #a, Helena, MT 59601 | 2019-10-18 |
1417443086 | Christopher Robert Vanhorssen | Nurse Practitioner | 2619 Colonial Dr # A, Helena, MT 59601 | 2018-07-07 |
1548754914 | Morgan M Wagner | Physical Therapist | 25 Neill Ave, Ste 209, Helena, MT 59601 | 2018-06-19 |
1598254534 | Meghan E. Harrington | Speech-Language Pathologist | 15 W 6th Ave Unit H2, Helena, MT 59601 | 2018-05-04 |
1952820219 | Susan Wood | Physical Therapist | 3207 Colonial Dr, Helena, MT 59601 | 2017-09-18 |
1992223200 | James E Dempsey | Counselor | 1201 Leslie Ave, Helena, MT 59601 | 2017-09-07 |
1770005811 | Big Sky Managed Care | Pharmacy | 900 Jackson St Ste A, Helena, MT 59601 | 2017-07-11 |
1760916084 | Adrian D Strange | Physical Therapy Assistant | 2475 Winne Avenue, Helena, MT 59601 | 2017-04-13 |
1821539909 | Survivors Boutique | Prosthetic/Orthotic Supplier | 1054 Helena Ave, Helena, MT 59601 | 2017-03-09 |
Find all providers in zip 59601 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255992129 | Huston Psychiatric Services LLC | Nurse Practitioner | 1806 11th Ave, Helena, MT 59601-4768 | 2019-06-21 |
1063827202 | Susan Depasquale | Nurse Practitioner | 730 Hauser Blvd, Helena, MT 59601-2627 | 2014-06-26 |
1629611785 | John Brewer | Nurse Practitioner | 2755 Colonial Dr, Helena, MT 59601-4926 | 2019-10-22 |
1922650290 | Jennifer L Mcanally | Nurse Practitioner | 1125 Missoula Ave, Ste B, Helena, MT 59601-3830 | 2019-07-16 |
1215589403 | Hemion, LLC | Nurse Practitioner | 825 Helena Ave, Helena, MT 59601-3459 | 2019-07-09 |
1245705698 | Kellie Vaughn | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2018-10-11 |
1992231229 | Rachel Hutchinson | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2017-05-05 |
1780134593 | Anthony Phillips | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-10-05 |
1871042226 | Logan Mendheim | Nurse Practitioner | 1109 Townhouse Rd, Helena, AL 35080-4012 | 2016-09-27 |
1700254935 | Erin Marie Huston | Nurse Practitioner | 2475 E Broadway St, Helena, MT 59601-4928 | 2015-09-03 |
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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.