Ericka Jewett, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

28209 Issued in MT

Practice address

3687 Veterans Dr
Fort Harrison, MT 59636-9703

Phone

(406) 447-7307

NPI assigned

Jun 19, 2012

Last updated

Jun 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1700149200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 VETERANS DR",
            "address_2": "P.O. BOX 1500",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "596369703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 VETERANS DR",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "596369703",
            "telephone_number": "406-447-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWETT",
        "first_name": "ERICKA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "28209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hugh Elliott Hetherington, M.D.
• David J Hill, APRN
• Kathleen Hulett, RN
• Brittney P Innocente, LMSW
• Shalae Herbert Jessop
• Gregory Ross Johnson, M.D.
• Tamara Reagor Jost, PHARM.D.
• Kyle Reid Joyner, LSW
• Danielle Marie Kautz, R.T.(R)(CT)(ARRT)
• Michele Colleen Keller, LAC, MA

• Psychiatric/Mental Health Nurse Practitioner in Fort Harrison, MT
• Providers in Fort Harrison, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.