Individual provider Active NPI

Ashild Bork

  • Women's Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1346834561
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
173842 Issued in MT
Practice address
2825 Fort Missoula Rd
Missoula, MT 59804-7420
Phone
(406) 327-3924
NPI assigned
Feb 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 173842 MT Primary

Addresses

Primary practice location

2825 Fort Missoula Rd
Missoula, MT 59804-7420

Mailing address

2825 Fort Missoula Rd Ste 317
Missoula, MT 59804-7420

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
I20210623003061 MT Practitioner - Nurse Practitioner 0042611410 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
173842MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Current Accepting new patients
RCHP Billings - Missoula LLC CurrentSince Mar 17, 2021 Accepting new patients

Locations

2825 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 542-2116

2835 Fort Missoula Rd
Ste 101
Missoula, MT 59804
Phone (406) 327-3920

2825 Fort Missoula Rd
Ste 317
Missoula, MT 59804
Phone (406) 327-3853

2230 N Reserve St
Ste 402
Missoula, MT 59808
Phone (406) 327-3850

2230 N Reserve St
Missoula, MT 59808
Phone (406) 721-0533

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1346834561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 317",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047420",
            "telephone_number": "406-327-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORK",
        "first_name": "ASHILD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "173842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.