Paxtin Robert McCann, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NUR-RN-LIC-239786 Issued in MT

Practice address

Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521

Phone

(406) 395-4486

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1104657311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40540 US HIGHWAY 2",
            "city": "CHINOOK",
            "state": "MT",
            "postal_code": "595239327",
            "telephone_number": "406-262-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROCKY BOY HEALTH CENTER",
            "address_2": "6850 UPPER BOX ELDER RD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "59521",
            "telephone_number": "406-395-4486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40540 US Highway 2",
            "address_purpose": "LOCATION",
            "city": "Chinook",
            "state": "MT",
            "postal_code": "595239327",
            "country_code": "US",
            "telephone_number": "406-262-0265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "PAXTIN",
        "middle_name": "ROBERT",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-239786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Lynn Longknife
• Mathew Lopez
• Anup S Mani, D.O.
• Kristen Ann Martens, R.N.
• Anthony Charles Mascarenas I, MSW, LAC
• Briana Shea McLain, BS, RDH, LAP
• Kendra Dawn McMaster
• Brandi Marie McNamara, RDH
• Michael Eugene Melland, RN BSN DDS
• Kathleen J Mitcham, MPAS, PA-C

• Registered Nurse in Box Elder, MT
• Providers in Box Elder, MT by specialty
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.