Shawna Renee Applegate, APRN
Individual provider Active NPI Family Nurse Practitioner · Great Falls, MT
NPI 1629504154 · NPPES record last updated Oct 25, 2018
Key facts
- NPI
- 1629504154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 125591 (MT)
- Practice address
- 115 4TH St S.
Great Falls, MT 59404 - Phone
- (406) 454-6973
- Fax
- (406) 454-6858
- NPI assigned
- May 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125591 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Central Montana Laboratory, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 125591 | MT | Yes |
Addresses
Primary practice location
115 4TH St S.
Great Falls, MT 59404
Mailing address
156 Banjo Hill LN
Great Falls, MT 59404
Phone (406) 899-5283
Other names
- Shawna Renee Stewart
Other providers in Great Falls, MT
- Ann M Doll Midwifery Services PLLC
- Raymone Jeanine Annau
- Kate Lynn Antonich
- Porntawee Aphivantrakul
- Apothecary Convenience Pharmacy, Inc.
- Brenda Rose Archambault
- Cynthia Ann Armstrong
- Susan Louise Armstrong
- Gary E Arno Jr.
- Aimie Arnold
All providers in Great Falls, MT · Family Nurse Practitioner in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2018. 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.