Individual provider Active NPI

Shae Luckey

  • Family Nurse Practitioner
  • Butte, MT
National Provider Identifier
1558289819
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-291034 Issued in MT
Practice address
445 Centennial Ave
Butte, MT 59701-2870
Phone
(406) 723-4075
Fax
(406) 496-6035
NPI assigned
Jul 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-291034 MT Primary

Addresses

Primary practice location

445 Centennial Ave
Butte, MT 59701-2870

Mailing address

445 Centennial Ave
Butte, MT 59701-2870
Phone (406) 723-4075

Other practice location 1

625 Riverview Dr E
Great Falls, MT 59404-1636
Phone (406) 531-9313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1558289819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075",
            "fax_number": "406-496-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075",
            "fax_number": "406-496-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Riverview Dr E",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594041636",
            "country_code": "US",
            "telephone_number": "406-531-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCKEY",
        "first_name": "SHAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-291034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.