Rustin Bendall Johnson, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

1-148876 Issued in AL

Practice address

550 6TH Ave N
Wolf Point, MT 59201-6000

Phone

(406) 653-1641

Fax

(406) 653-3728

NPI assigned

Sep 19, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1366926008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592010729",
            "telephone_number": "406-653-1641",
            "fax_number": "406-653-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 6TH AVE N",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "592016000",
            "telephone_number": "406-653-1641",
            "fax_number": "406-653-3728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 H Street East",
            "address_purpose": "LOCATION",
            "city": "Poplar",
            "state": "MT",
            "postal_code": "59255",
            "country_code": "US",
            "telephone_number": "406-768-3491",
            "fax_number": "406-768-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RUSTIN",
        "middle_name": "BENDALL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AL",
            "license": "1-148876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-148876",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Wolf Point, MT
• Providers in Wolf Point, MT by specialty
• Case Management Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.