Individual provider Active NPI

Marybeth J Adams, NP

  • Family Nurse Practitioner
  • Belgrade, MT
National Provider Identifier
1093814923
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19667 Issued in MT
Practice address
15 E Main St
Belgrade, MT 59714-3714
Phone
(406) 388-7035
NPI assigned
Sep 21, 2006
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19667 MT Primary

Addresses

Primary practice location

15 E Main St
Belgrade, MT 59714-3714

Mailing address

15 E Main St
Belgrade, MT 59714-3714
Phone (406) 388-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000469 MT Practitioner - Nurse Practitioner 1759387848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19667MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Catherine Family Health Care Clinic & Pregnancy Resource Center CurrentSince Jul 1, 2008 Accepting new patients

Locations

15 E Main St
Belgrade, MT 59714
Phone (406) 388-7035

203 W Madison Ave
Ste E2
Belgrade, MT 59714
Phone (406) 388-7035

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1093814923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143714",
            "telephone_number": "406-388-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E MAIN ST",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143714",
            "telephone_number": "406-388-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MARYBETH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "19667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

Verify at the official NPI Registry.