Beverley Ann Blake Odoherty, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP925A Issued in ID

Practice address

1101 26TH St S
Great Falls, MT 59405-5161

Phone

(406) 455-5000

Fax

(406) 731-8318

NPI assigned

Dec 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MT, ID, TX, OR, PA5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians

Fayette Physician Network IncGroup PAC ID 3375865819, 309 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uniontown Hospital Hospital, Uniontown, PA, CCN 390041
• McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020
• Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
• Clarinda Regional Health Center Nursing home, CCN 16Z352

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bblakeod@yourcarecommunity.org
• Direct secure messaging: bblakeodoherty178700@ahs.direct-ci.com

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

• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817

  Family

  Medicare reassignment Care Compare group NPD
• South Sound Inpatient Physicians PLLC

  • Internal Medicine Physician
  • Hillsboro, OR
  • NPI 1508023789
  Medicare reassignment Care Compare group NPD
• Memorial Hospital Association

  • Primary Care Clinic/Center
  • Red Lodge, MT
  • NPI 1184785099
  Medicare reassignment NPD
• Grande Ronde Hospital, Inc.

  • Critical Access Hospital
  • La Grande, OR
  • NPI 1467446195
  Medicare reassignment NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Teton Valley Health Care Inc

  • Rural Health Clinic/Center
  • Driggs, ID
  • NPI 1013264183

  Family

  Medicare reassignment NPD
• Memorial Hospital Association

  • Critical Access Hospital
  • Red Lodge, MT
  • NPI 1336119338
  NPD
• Memorial Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Red Lodge, MT
  • NPI 1952479537
  NPD
• Cogent Healthcare of Washington, PC

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1861430522

  Nurse Practitioner

  NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044
  NPD
• Grande Ronde Hospital, Inc.

  • Rural Health Clinic/Center
  • La Grande, OR
  • NPI 1093296519
  NPD
• Pocatello Health Services, LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1689802852
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Clarinda Regional Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Clarinda, IA
  • NPI 1255489647

  Nursing home

  Care Compare affiliation
• Clarinda Regional Health Center

  • Critical Access Hospital
  • Clarinda, IA
  • NPI 1366486946
  Care Compare affiliation
• McKenzie-Willamette Regional Medical Center Associates LLC

  • General Acute Care Hospital
  • Springfield, OR
  • NPI 1568413573
  Care Compare affiliation
• Uniontown Hospital

  • Clinic/Center
  • Uniontown, PA
  • NPI 1225045131

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • Internal Medicine Physician
  • Uniontown, PA
  • NPI 1245488048

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • Institutional Pharmacy
  • Uniontown, PA
  • NPI 1801910989

  Hospital

  Care Compare affiliation
• Uniontown Hospital

  • General Acute Care Hospital
  • Uniontown, PA
  • NPI 1861409773
  Care Compare affiliation
• Uniontown Hospital

  • General Acute Care Hospital
  • Uniontown, PA
  • NPI 1871594127
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1821166539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 SWISHER RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832041929",
            "telephone_number": "208-705-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 26TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055161",
            "telephone_number": "406-455-5000",
            "fax_number": "406-731-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE ODOHERTY",
        "first_name": "BEVERLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP925A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "NPPA070938",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201907779NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "102700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie K Bjorsness, RD
• Andrew Blackman, MD
• Loni Blackman, LCPC
• Kathleen S Blair, DO
• Sydney P Blair, LCSW
• Ethan Blalock
• Pamela Ann Blanchard, DC
• Linda Blankenship, LAC
• Donald E Blevins, DDS
• Richard D Blevins, MD

• Family Nurse Practitioner in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.