Sydney Blair

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

NUR-RN-LIC-75968 Issued in MT

Practice address

699 Farmhouse LN
Bozeman, MT 59715-9402

Phone

(406) 556-6500

Fax

(406) 522-8361

NPI assigned

Sep 26, 2014

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Montana Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1912079328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1013310655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 FARMHOUSE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159402",
            "telephone_number": "406-556-6500",
            "fax_number": "406-522-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 FARMHOUSE LN",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597159402",
            "telephone_number": "406-556-6500",
            "fax_number": "406-522-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SYDNEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-RN-LIC-75968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Bjorge
• Black Dog Performance, LLC
• Callie Ranae Blackwood, L.AC.
• Erica Leigh Blair, PCLC
• Steven Travis Blair, D.C.
• Robert B Blake, M.D.
• Cheryl Rae Blank, PH.D.
• Benjamin L Blend, M.D.
• Crystal Blixt, LMFT
• Melissa N Blixt, DNP, APRN, FNP-BC

• Psychiatric/Mental Health Registered Nurse in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Psychiatric/Mental Health Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.