Active NPI
Headwaters Mental Health, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Belgrade, MT
National Provider Identifier
1194200923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HEADWATERS MENTAL HEALTH, PLLC
- Practice address
- 11 W Main St Ste 217
Belgrade, MT 59714-3739 - Phone
- (406) 272-3850
- NPI assigned
- Sep 27, 2018
- Last updated
- Sep 27, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wade G Hill, DNP
- Title
- Aprn
- Phone
- (406) 272-3850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
11 W Main St Ste 217
Belgrade, MT 59714-3739
Mailing address
11 W Main St Ste 217
Belgrade, MT 59714-3739
Phone (406) 272-3850
National Provider Directory
National Provider DirectoryLocations
11 W Main St
Ste 217
Belgrade, MT 59714
Phone (406) 272-3850
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Belgrade, MT
- NPI 1366991515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1194200923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 W MAIN ST STE 217",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597143739",
"telephone_number": "406-272-3850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 W MAIN ST STE 217",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597143739",
"telephone_number": "406-272-3850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEADWATERS MENTAL HEALTH, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "WADE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "406-272-3850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.