Individual provider Active NPI

Maggi Blevins, RN

  • Home Health Registered Nurse
  • Red Lodge, MT
National Provider Identifier
1770080137
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
NUR-RN-LIC-22622 Issued in MT
Practice address
215 N Cooper Ave
Red Lodge, MT 59068-9140
Phone
(406) 426-0253
Fax
(406) 446-0198
NPI assigned
Apr 11, 2018
Last updated
Apr 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NUR-RN-LIC-22622 MT
Home Health Registered Nurse 163WH0200X NUR-RN-LIC-22622 MT Primary

Addresses

Primary practice location

215 N Cooper Ave
Red Lodge, MT 59068-9140

Mailing address

PO Box 1432
Red Lodge, MT 59068-1432
Phone (406) 426-0253

Other names 1

  • Maggi Stimson Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-22622MTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Springs Living Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1770080137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1432",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590681432",
            "telephone_number": "406-426-0253",
            "fax_number": "406-446-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N COOPER AVE",
            "city": "RED LODGE",
            "state": "MT",
            "postal_code": "590689140",
            "telephone_number": "406-426-0253",
            "fax_number": "406-446-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEVINS",
        "first_name": "MAGGI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-22622",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MT",
            "license": "NUR-RN-LIC-22622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGI",
            "last_name": "STIMSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Lodge, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.