Kevin Russell Hayworth, EMT

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

88015 Issued in MT

Practice address

307 Montana Ave
Libby, MT 59923-2037

Phone

(406) 293-5582

NPI assigned

Mar 17, 2025

Last updated

Mar 17, 2025By the provider in NPPES

Sex

Male

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

Credentials

Emergency Medical Technician

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health & Wellness, Inc.

  • Primary Care Nurse Practitioner
  • Libby, MT
  • NPI 1275118085
  NPD
• Libby Volunteer Ambulance Service Inc

  • Land Ambulance
  • Libby, MT
  • NPI 1558440669
  NPD (past)

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1497555759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 9TH ST STE 1",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232019",
            "telephone_number": "406-293-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MONTANA AVE",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599232037",
            "telephone_number": "406-293-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWORTH",
        "first_name": "KEVIN",
        "middle_name": "RUSSELL",
        "credential": "EMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MT",
            "license": "88015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenne Gunther, MD
• Nicole Desiree Haats, FNP-C
• Natasha Haines, NP
• Jana M Hall, MD
• Olivia Marie Hall, FNP-C
• Mark S Heppe
• Tanis Hernandez
• Home Away From Home Inc
• Carly Ann Huffman, PHARMD
• Amy Lea Hughes, PT

• Basic Emergency Medical Technician in Libby, MT
• Providers in Libby, MT by specialty
• Basic Emergency Medical Technician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.