SANDY A DERRY (NPI# 1972158814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972158814 |
| Entity Type | Individual |
| Full Name | SANDY A DERRY |
| Credential | ACLC |
| Practice Address |
521 4th St Havre MT 59501-3649 |
| Practice Telephone | 4063956950 |
| Mailing Telephone | 4063956950 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
521 4TH ST |
| City | HAVRE |
| State | MT |
| Zip Code | 59501-3649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605562 | Robert Allen Babbitt | Physician Assistant | 521 4th St, Havre, MT 59501-3649 | 2005-11-02 |
| 1740745587 | Hailey Breum | Counselor | 521 4th St, Havre, MT 59501-3649 | 2019-02-06 |
| 1396242632 | Lori Lynn St Pierre | Counselor | 521 4th St, Havre, MT 59501-3649 | 2018-04-12 |
| 1831647619 | Patricia Alderson | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2016-09-21 |
| 1235582743 | Lydia Zilkoski | Counselor | 521 4th St, Havre, MT 59501-3649 | 2016-07-20 |
| 1033574991 | Kathryn Elaine Olson | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2015-12-20 |
| 1568848117 | Alyssa Lauren Harris | Dentist | 521 4th St, Havre, MT 59501-3649 | 2015-08-06 |
| 1497151971 | Bullhook Community Health Center Pharmacy | Pharmacy | 521 4th St, Havre, MT 59501-3649 | 2014-11-12 |
| 1114361151 | Rosaula Nymphadacumos Lapine | Nurse Practitioner | 521 4th St, Havre, MT 59501-3649 | 2013-04-22 |
| 1508105743 | Lindsey Reichelt | Social Worker | 521 4th St, Havre, MT 59501-3649 | 2013-02-07 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922497833 | Benjamin F. Jennings | Counselor | 220 3rd Ave Ste 407b, Havre, MT 59501-3554 | 2015-01-15 |
| 1194005868 | Misty Geer | Counselor | 306 3rd Ave Ste 203, Havre, MT 59501-3536 | 2011-08-25 |
| 1811188238 | Debby Louise Knudson | Counselor | 925 Center Dr, Havre, MT 59501-4254 | 2007-08-09 |
| 1396872479 | Ted Lewis | Counselor | 111 11th St W, Havre, MT 59501-4960 | 2007-02-27 |
| 1881608578 | Sue Anne Tanner Workman Pollington | Counselor | 1023 5th St, Havre, MT 59501-4106 | 2006-07-28 |
| 1033762992 | Bear Paw Recovery Center | Counselor | 605 3rd Ave, Havre, MT 59501-3917 | 2019-07-19 |
| 1740745587 | Hailey Breum | Counselor | 521 4th St, Havre, MT 59501-3649 | 2019-02-06 |
| 1396242632 | Lori Lynn St Pierre | Counselor | 521 4th St, Havre, MT 59501-3649 | 2018-04-12 |
| 1235582743 | Lydia Zilkoski | Counselor | 521 4th St, Havre, MT 59501-3649 | 2016-07-20 |
| 1699185322 | Jesse J Bergren | Counselor | 605 3rd Ave, Havre, MT 59501-3917 | 2014-05-02 |
| Find all providers in HAVRE | ||||
Please comment or provide details below to improve the information on SANDY A DERRY.
| 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.