Active NPI
Arlys Williams, RN, NP
- Pediatric Nurse Practitioner
- Havre, MT
National Provider Identifier
1598737017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN009879
- Practice address
- 20 13TH St
Havre, MT 59501-5222 - Phone
- (406) 265-7831
- Fax
- (406) 265-1651
- NPI assigned
- Feb 7, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN009879 | MT | Primary |
Addresses
Primary practice location
20 13TH St
Havre, MT 59501-5222
Mailing address
PO Box 1231
Havre, MT 59501-1231
Phone (406) 262-1302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000096156 | Other | MT | BLUE CROSS BLUE SHIELA |
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
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN009879 | MT | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598737017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "HAVRE",
"state": "MT",
"postal_code": "595011231",
"telephone_number": "406-262-1302",
"fax_number": "406-265-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 13TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015222",
"telephone_number": "406-265-7831",
"fax_number": "406-265-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ARLYS",
"name_prefix": "Mrs.",
"credential": "RN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MT",
"license": "RN009879",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELA",
"identifier": "000096156",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.