Melissa M. Main, R.N.
Individual provider Active NPI Registered Nurse · Pablo, MT
NPI 1831688282 · NPPES record last updated May 1, 2018
Key facts
- NPI
- 1831688282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 49234 (MT)
- Practice address
- 35959 Big Knife LN
Pablo, MT 59855 - Phone
- (406) 745-3525
- Fax
- (406) 745-3529
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49234 | MT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 49234 | MT | Yes |
Addresses
Primary practice location
35959 Big Knife LN
Pablo, MT 59855
Mailing address
P.O. Box 880
St. Ignatius, MT 59865
Phone (406) 745-3525
NPI Registry JSON
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1831688282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 880",
"city": "ST. IGNATIUS",
"state": "MT",
"postal_code": "59865",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35959 BIG KNIFE LN",
"city": "PABLO",
"state": "MT",
"postal_code": "59855",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAIN",
"first_name": "MELISSA",
"middle_name": "M.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "49234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pablo, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.