Individual provider Active NPI

Shaylee St. Marks

  • Registered Nurse
  • Box Elder, MT
National Provider Identifier
1255178018
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
240181 Issued in MT
Practice address
45 Tumbleweed Rd
Box Elder, MT 59521-8796
Phone
(406) 399-3192
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X MT
Registered Nurse 163W00000X 240181 MT Primary

Addresses

Primary practice location

45 Tumbleweed Rd
Box Elder, MT 59521-8796

Mailing address

45 Tumbleweed Rd
Box Elder, MT 59521-8796
Phone (406) 399-3192

Other practice location 1

Rocky Boy Health Center
6850 Upper Box Elder Rd
Box Elder, MT 59521
Phone (406) 395-4486

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
240181MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1255178018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 TUMBLEWEED RD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "595218796",
            "telephone_number": "406-399-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 TUMBLEWEED RD",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "595218796",
            "telephone_number": "406-399-3192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Rocky Boy Health Center",
            "address_2": "6850 Upper Box Elder Rd",
            "address_purpose": "LOCATION",
            "city": "Box Elder",
            "state": "MT",
            "postal_code": "59521",
            "country_code": "US",
            "telephone_number": "406-395-4486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. MARKS",
        "first_name": "SHAYLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MT",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "240181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Box Elder, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.