Madison Tracy Mock, MLS(ASCP)

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

License

RN11224 Issued in MT

Practice address

3687 Veterans Dr
Fort Harrison, MT 59636-9700

Phone

(406) 442-6410

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1497336408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 LEWIS ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013028",
            "telephone_number": "406-241-1280"
        },
        {
            "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": "406-442-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "MADISON",
        "middle_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "MLS(ASCP)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "MT",
            "license": "RN11224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Meyer, PHARMD
• Sandra Lotshaw Micken, PH.D.
• Mary Mikeson, PHARMD
• Connie J Miller, MS CCC-SLP
• Nicholas Scott Mills, DO
• Matthew Moeser, R.N.
• Kayleigh Moldenhauer, NP
• Montana Vamc
• Montana Vamc
• Jeannette Colleen Moore, APRN-BC

• Rural Acute Care Hospital in Fort Harrison, MT
• Providers in Fort Harrison, MT by specialty
• Rural Acute Care Hospital in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.