Crystal Dawn Decoteau

Primary specialty

Medical TechnologistTaxonomy code 246QM0706X

Practice address

550 6TH Ave North
Wolf Point, MT 59201

Phone

(406) 653-1641

NPI assigned

Jan 22, 2013

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 22, 2013.

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1629316955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "592550067",
            "telephone_number": "406-768-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 6TH AVE NORTH",
            "city": "WOLF POINT",
            "state": "MT",
            "postal_code": "59201",
            "telephone_number": "406-653-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTEAU",
        "first_name": "CRYSTAL",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shania Rae Chavez, RN
• Casey Renea Cornett, R.D.H.
• Ellissa Andreen Cyr, B.A.
• Connie S Dahl, LCSW
• Rebecca Suzanne Dayton, MT(ASCP)
• Omar Fidel Espinosa, MLT
• Scott Wayne Falley, MD
• Jill Ranae Ferdina
• Lois Elese Fleming, RN
• Richard Wayne Freeeman, BS MT(ASCP)

• All providers in Wolf Point, MT
• Medical Technologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.