Mavis Dillman

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

920112 Issued in MT

Practice address

1069 Grant Dr
Great Falls, MT 59404-6222

Phone

(406) 564-7049

NPI assigned

Oct 14, 2015

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1407227655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 GRANT DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046222",
            "telephone_number": "406-564-7049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 GRANT DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046222",
            "telephone_number": "406-564-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLMAN",
        "first_name": "MAVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MT",
            "license": "920112",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MT",
            "license": "920112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saugat Dey, M.D.
• Jeramy Gerard Dickman, LAC
• Heath Rulin Diel, MD
• Dennis W. Dietrich, MD
• Kathleen M Diller, MD
• Angelia Marie Disalvo
• Discount Pharmacy Inc (Discount Pharmacy)
• Discount Pharmacy Inc.
• Discovery Family Counseling Services, LLC
• David Michael Ditolla, LMFT

• Personal Care Attendant in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Personal Care Attendant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; 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.