Active NPI
Carey Gavin Nazworth
- Registered Nurse
- Crow Agency, MT
National Provider Identifier
1720391592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN201688
- Practice address
- Surgery 1 Hospital Road
Crow Agency, MT 59022 - Phone
- (406) 638-3450
- NPI assigned
- Jul 21, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN201688 | GA | Primary |
Addresses
Primary practice location
Surgery 1 Hospital Road
Crow Agency, MT 59022
Mailing address
PO Box 31
Hardin, MT 59034-0031
Phone (904) 714-5228
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN201688 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1720391592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31",
"city": "HARDIN",
"state": "MT",
"postal_code": "590340031",
"telephone_number": "904-714-5228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SURGERY 1 HOSPITAL ROAD",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "59022",
"telephone_number": "406-638-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZWORTH",
"first_name": "CAREY",
"middle_name": "GAVIN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN201688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.