Active NPI
Carol Ann Milne, FNP
- Nurse Practitioner
- Havre, MT
National Provider Identifier
1013922707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 36977
- Practice address
- 110 13TH St
Havre, MT 59501-5223 - Phone
- (406) 265-4541
- Fax
- (406) 265-2148
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 200250021NP FNP-PP | OR | |
| Nurse Practitioner | 363L00000X | 36977 | MT | Primary |
Addresses
Primary practice location
110 13TH St
Havre, MT 59501-5223
Mailing address
PO Box 1849
Havre, MT 59501-1849
Phone (406) 229-1047
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105575 | Other | OR | MEDICARE GROUP NUMBER |
| 127725 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36977 | MT | MD | Nurse Practitioner |
| 200250021NP FNP-PP | OR | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacier Dental Clinic | Past | Accepting new patients | |
| Glacier Community Health Center Inc | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Glacier Community Pharmacy | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIAFAA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- Federally Qualified Health Center (FQHC)
- Cut Bank, MT
- NPI 1780764274
-
- Community/Retail Pharmacy
- Cut Bank, MT
- NPI 1962396903
-
- Dental Clinic/Center
- Cut Bank, MT
- NPI 1497992424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309478400000",
"number": "1013922707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1849",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011849",
"telephone_number": "406-229-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015223",
"telephone_number": "406-265-4541",
"fax_number": "406-265-2148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILNE",
"first_name": "CAROL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2011-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "200250021NP FNP-PP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "36977",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "105575",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127725",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.