Individual provider Active NPI

May Victor, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1154953982
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NUR-APRN-LIC-174154 Issued in MT
Practice address
1120 Cedar St
Missoula, MT 59802-3911
Phone
(406) 541-4673
NPI assigned
Feb 10, 2020
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144387 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NUR-APRN-LIC-174154 MT Primary

Addresses

Primary practice location

1120 Cedar St
Missoula, MT 59802-3911

Mailing address

1120 Cedar St
Missoula, MT 59802-3911

Other practice location 1

3619 Shoreview Ln
Missouri City, TX 77459-5060
Phone (713) 498-6211

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
I20210407002296 MT Practitioner - Nurse Practitioner 5991112039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HKJ IncGroup PAC ID 5395070429, 5 clinicians

Practice addresses (Care Compare)

3000 Palmer St
Missoula, MT 59808-1671
Phone (406) 541-4673

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-174154MTMDPsychiatric/Mental Health Nurse Practitioner
AP144387TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HKJ Inc CurrentSince Mar 30, 2021 Accepting new patients
HKJ Inc Multi-Specialty CurrentSince Mar 30, 2021 Accepting new patients

Locations

1120 Cedar St
Missoula, MT 59802
Phone (406) 541-4673

3000 Palmer St
Missoula, MT 59808
Phone (406) 541-4673

3000 Palmer St
Ste B
Missoula, MT 59808
Phone (406) 541-4673

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1154953982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023911",
            "telephone_number": "406-541-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Shoreview Ln",
            "address_purpose": "LOCATION",
            "city": "Missouri City",
            "state": "TX",
            "postal_code": "774595060",
            "country_code": "US",
            "telephone_number": "713-498-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "MAY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144387",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-174154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.