Individual provider Active NPI

Vicky Jo Shipe Tusler, R.D. L.N.

  • Registered Dietitian
  • Miles City, MT
National Provider Identifier
1811125172
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
465 Issued in MT
Practice address
2200 Box Elder St
Miles City, MT 59301-2899
Phone
(406) 234-6034
Fax
(406) 234-7018
NPI assigned
Jun 25, 2009
Last updated
Jun 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 465 MT
Registered Dietitian 133V00000X 465 MT Primary

Addresses

Primary practice location

2200 Box Elder St
Miles City, MT 59301-2899

Mailing address

PO Box 636
352 Ash Creek Road
Terry, MT 59349-0636
Phone (406) 486-5641

Other names 1

  • Ms. Vicky Jo Shipe Tusler Professional 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

State licenses

LicenseStateTypeSpecialty
465MTMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1811125172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "address_2": "352 ASH CREEK ROAD",
            "city": "TERRY",
            "state": "MT",
            "postal_code": "593490636",
            "telephone_number": "406-486-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BOX ELDER ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593012899",
            "telephone_number": "406-234-6034",
            "fax_number": "406-234-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPE TUSLER",
        "first_name": "VICKY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "R.D. L.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MT",
            "license": "465",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKY",
            "last_name": "SHIPE TUSLER",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "R.D.L.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.