Basecamp Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BASECAMP PEDIATRICS

Practice address

2230 27TH Ave Ste 3
Missoula, MT 59804-5128

Phone

(406) 214-4577

NPI assigned

Nov 15, 2024

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tara Patrick, PNPNPI 1669622841

Title

Owner, PNP

Phone

(406) 240-1229

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Tara L Patrick, NP

  • Pediatric Nurse Practitioner
  • Missoula, MT
  • NPI 1669622841
  NPD Authorized official
• Heather Marie Marshall, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Missoula, MT
  • NPI 1134887110
  NPD (past)

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1194540120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016028",
            "telephone_number": "406-240-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 27TH AVE STE 3",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045128",
            "telephone_number": "406-214-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASECAMP PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER, PNP",
        "authorized_official_telephone_number": "406-240-1229",
        "authorized_official_credential": "PNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Fox Barton, PA
• Christopher J Barton, MD
• Lindsey Dawn Barton, SLP
• Matthew Barton, PA-C
• Heather Bartz, ATC
• Sally Rebecca Baskett, APRN
• Thomas John Basolo, LAC
• Noor Alain Bass, DO
• Mary E Bassingthwaighte, MD
• Noemi Marie Bassler, BSN

• Pediatrics Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatrics Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.