Vicki Ainsworth

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

5473 Issued in MT

Practice address

535 Clinic Rd E
Box Elder, MT 59521-8826

Phone

(406) 395-4486

NPI assigned

Oct 23, 2014

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 23, 2014.

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1437554151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 CLINIC RD E",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "595218826",
            "telephone_number": "406-395-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 CLINIC RD E",
            "city": "BOX ELDER",
            "state": "MT",
            "postal_code": "595218826",
            "telephone_number": "406-395-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINSWORTH",
        "first_name": "VICKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MT",
            "license": "5473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stormy Adams
• Claire Elizabeth Arment, M.D.
• Tamra Lee Baker, RN
• Elizabeth E Barnes
• Karen Sue Baumann, RN
• Gilberta R Belgarde

• All providers in Box Elder, MT
• Clinical Medical Laboratory in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.