Active NPI
Jon Beach
- Athletic Trainer
- Sheridan, MT
National Provider Identifier
1679941876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 101 Madison Street
Sheridan, MT 59749 - Phone
- (979) 530-3234
- NPI assigned
- Sep 4, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
101 Madison Street
Sheridan, MT 59749
Mailing address
101 Madison Street
P.O. Box 154
Sheridan, MT 59749
Phone (979) 530-3234
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1679941876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MADISON STREET",
"address_2": "P.O. BOX 154",
"city": "SHERIDAN",
"state": "MT",
"postal_code": "59749",
"telephone_number": "979-530-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MADISON STREET",
"city": "SHERIDAN",
"state": "MT",
"postal_code": "59749",
"telephone_number": "979-530-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEACH",
"first_name": "JON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheridan, MT
- Augcom Solutions, LLC
- Barrett Hospital Development Corporation
- Bartoletti Dental LLC
- Jade Kathleen Bartoletti, NP
- Robert Thomas Bartoletti, D.M.D.
- Molly Elizabeth Biehl, DO
- Butte Silver Bow Primary Health Care Clinic Inc
- Paula Merry Christensen, FNP
- Patricia Y Colcord Welch
- Tanya Rose Curtis, M.S. CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.