Tamara Roundstone

Individual provider Active NPI Registered Nurse · Lame Deer, MT

NPI 1144725516 · NPPES record last updated Mar 28, 2018

Key facts

NPI
1144725516
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
NUR-RN-LIC-25643 (MT)
Practice address
100 Eaglefeathers Street
Lame Deer, MT 59043
Phone
(406) 477-4940
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-25643MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Cheyenne Tribe Past Accepting new patients
Northern Cheyenne Tribe Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NUR-RN-LIC-25643 MT Yes

Addresses

Primary practice location

100 Eaglefeathers Street
Lame Deer, MT 59043

Mailing address

PO Box 129
Lame Deer, MT 59043-0129

Other practice location 1

420 North Cheyenne Ave
Lame Deer, MT 59043
Phone (406) 477-4525

Other providers in Lame Deer, MT

All providers in Lame Deer, MT · Registered Nurse in Montana

Sources for this page

Verify at the official NPI Registry.