Individual provider Active NPI

Noblee Little Dog, HEALTH TECHNICIAN

  • Nurse's Aide
  • Great Falls, MT
National Provider Identifier
1295438570
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
366321 Issued in MT
Practice address
425 Smelter Ave NE
Great Falls, MT 59404-1927
Phone
(406) 247-7130
Fax
(406) 247-7232
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 366321 MT Primary

Addresses

Primary practice location

425 Smelter Ave NE
Great Falls, MT 59404-1927

Mailing address

3805 7TH St NE TRLR 125
Great Falls, MT 59404-1155
Phone (406) 564-9313

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
366321MTMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1295438570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 7TH ST NE TRLR 125",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041155",
            "telephone_number": "406-564-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SMELTER AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041927",
            "telephone_number": "406-247-7130",
            "fax_number": "406-247-7232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE DOG",
        "first_name": "NOBLEE",
        "credential": "HEALTH TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MT",
            "license": "366321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.