Individual provider Active NPI

Mary Tamera O'Shea

  • Social Worker
  • Billings, MT
National Provider Identifier
1679087928
Registry record updated Nov 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BBH-LCSW-LIC-356 Issued in MT
Practice address
1766 Majestic LN
Billings, MT 59102-6759
Phone
(406) 373-3927
NPI assigned
Nov 24, 2017
Last updated
Nov 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BBH-LCSW-LIC-356 MT Primary

Addresses

Primary practice location

1766 Majestic LN
Billings, MT 59102-6759

Mailing address

5330 Sacagawea Dr
Billings, MT 59101-8924
Phone (406) 248-8739

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • 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": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511481600000",
    "number": "1679087928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 SACAGAWEA DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591018924",
            "telephone_number": "406-248-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 MAJESTIC LN",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026759",
            "telephone_number": "406-373-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "MARY",
        "middle_name": "TAMERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-24",
        "last_updated": "2017-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MT",
            "license": "BBH-LCSW-LIC-356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.