Individual provider Active NPI

Bethany Liss Notafraid, REGISTERED NURSE

  • Community Health Registered Nurse
  • Harlem, MT
National Provider Identifier
1477726032
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
35764 Issued in MT
Practice address
456 Gros Ventre Avenue
Harlem, MT 59526-0456
Phone
(406) 353-3235
Fax
(406) 353-3283
NPI assigned
Apr 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 35764 MT Primary

Addresses

Primary practice location

456 Gros Ventre Avenue
Harlem, MT 59526-0456

Mailing address

RR 1 Box 67
Harlem, MT 59526-9705
Phone (406) 353-3235

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
35764MTMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1477726032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 67",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595269705",
            "telephone_number": "406-353-3235",
            "fax_number": "406-353-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 GROS VENTRE AVENUE",
            "city": "HARLEM",
            "state": "MT",
            "postal_code": "595260456",
            "telephone_number": "406-353-3235",
            "fax_number": "406-353-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTAFRAID",
        "first_name": "BETHANY",
        "middle_name": "LISS",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MT",
            "license": "35764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlem, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.