Individual provider Active NPI

David Ralph Fields, MSW LAC

  • Addiction (Substance Use Disorder) Counselor
  • Missoula, MT
National Provider Identifier
1427219070
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1037 Issued in MT
Practice address
500 West Broadway
Saint Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4008
Phone
(406) 327-3200
Fax
(406) 327-3500
NPI assigned
Jun 17, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1037 MT Primary

Addresses

Primary practice location

500 West Broadway
Saint Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4008

Mailing address

PO Box 4587
Saint Patrick Hospital & Health Sciences Center
Missoula, MT 59802-4587
Phone (406) 327-3200

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
1037MTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1427219070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4587",
            "address_2": "SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024587",
            "telephone_number": "406-327-3200",
            "fax_number": "406-327-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WEST BROADWAY",
            "address_2": "SAINT PATRICK HOSPITAL & HEALTH SCIENCES CENTER",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024008",
            "telephone_number": "406-327-3200",
            "fax_number": "406-327-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "MSW LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.