Active NPI
Elizabeth Evans, LMT
- Contractor
- Bozeman, MT
National Provider Identifier
1437708989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- LMT-LMT-LIC-12394
- Practice address
- 3985 Valley Commons Dr
Bozeman, MT 59718-6633 - Phone
- (509) 264-3046
- NPI assigned
- Sep 7, 2019
- Last updated
- Sep 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | LMT-LMT-LIC-12394 | MT | Primary |
| Community/Behavioral Health Agency | 251S00000X | LMT-LMT-LIC-12394 | MT |
Addresses
Primary practice location
3985 Valley Commons Dr
Bozeman, MT 59718-6633
Mailing address
PO Box 281
Bozeman, MT 59771-0281
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMT-LMT-LIC-12394 | MT | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1437708989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597710281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3985 VALLEY COMMONS DR",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597186633",
"telephone_number": "509-264-3046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "ELIZABETH",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-07",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "MT",
"license": "LMT-LMT-LIC-12394",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MT",
"license": "LMT-LMT-LIC-12394",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
- Monica Leonor Espinasse, PSYD
- Robert G Essig, OD
- Dallas Arnold Estey, APRN
- European Massage Co.
- Kelly Michele Euwema, DNP-BC
- Joni Nadene Evans, LCPC
- Kathleen Dawn Evans, MCSD-CCC/SLP
- Alexandra Ewenczyk, M.D.
- Excel Orthopedic Physical Therapy Limited Partnership
- Excel Orthopedic Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.