Susan Elizabeth Blythe
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Bozeman, MT
NPI 1619681939 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1619681939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Practice address
- 670 S Ferguson Ave Ste 2a
Bozeman, MT 59718-6493 - Phone
- (406) 498-0511
- NPI assigned
- Jan 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pink Tent, LLC | Durable Medical Equipment & Medical Supplies | Current |
Accepting new patients |
Locations
670 S Ferguson Ave
Ste 2A
Bozeman, MT 59718
Phone (406) 498-0511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
670 S Ferguson Ave Ste 2a
Bozeman, MT 59718-6493
Mailing address
670 S Ferguson Ave Ste 2a
Bozeman, MT 59718-6493
Phone (406) 498-0511
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mypinktent.com |
Other providers in Bozeman, MT
- Melissa N Blixt
- Blue Apple Wellness, LLP
- Blue River Counseling, LLC
- Bluebird Counseling LLC
- Bluebird Medical Supply Company
- Kristie L Bodnar
- Emily Bodner
- Erik R Bodtker
- Mallory Boich
- Kasen Boie
All providers in Bozeman, MT · Durable Medical Equipment & Medical Supplies in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.