Shalae Herbert Jessop

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

3687 Veterans Dr
Fort Harrison, MT 59636-9700

Phone

(406) 447-6187

NPI assigned

Sep 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1477104792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410021",
            "city": "PINESDALE",
            "state": "MT",
            "postal_code": "598410021"
        },
        {
            "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": "596369700",
            "telephone_number": "406-447-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSOP",
        "first_name": "SHALAE",
        "middle_name": "HERBERT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Herta
• Hugh Elliott Hetherington, M.D.
• David J Hill, APRN
• Kathleen Hulett, RN
• Brittney P Innocente, LMSW
• Ericka Jewett, APRN
• Gregory Ross Johnson, M.D.
• Tamara Reagor Jost, PHARM.D.
• Kyle Reid Joyner, LSW
• Danielle Marie Kautz, R.T.(R)(CT)(ARRT)

• Personal Care Attendant in Fort Harrison, MT
• Providers in Fort Harrison, 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 Sep 27, 2019; 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.