Active NPI
Christine Marie McCutcheon, APRN
- Family Nurse Practitioner
- Fort Harrison, MT
National Provider Identifier
1376523332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 78586
- Practice address
- 3687 Veterans Dr
Fort Harrison, MT 59636-9703 - Phone
- (406) 442-6410
- Fax
- (406) 442-6410
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78586 | SC | MD | Family Nurse Practitioner |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 78586 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3687 Veterans Dr
Fort Harrison, MT 59636-9703
Mailing address
3687 Veterans Dr
Ft Harrison, MT 59636-1500
Phone (843) 228-5577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 14, 2011.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1376523332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 VETERANS DR",
"city": "FT HARRISON",
"state": "MT",
"postal_code": "596361500",
"telephone_number": "843-228-5577",
"fax_number": "843-228-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 VETERANS DR",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "596369703",
"telephone_number": "406-442-6410",
"fax_number": "406-442-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUTCHEON",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "78586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Harrison, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.