Active NPI
Nina Degidio Haarer, LMT, MMP
- Rehabilitation Practitioner
- Bozeman, MT
National Provider Identifier
1871978627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 1173
- Practice address
- 1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289 - Phone
- (406) 595-2234
- Fax
- (406) 577-2285
- NPI assigned
- Jul 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 1173 | MT | Primary |
| Massage Therapist | 225700000X | 1173 | MT |
Addresses
Primary practice location
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Mailing address
1276 N 15TH Ave Ste 101
Bozeman, MT 59715-3289
Phone (406) 595-2234
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 |
|---|---|---|---|
| 1173 | MT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1871978627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 N 15TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153289",
"telephone_number": "406-595-2234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 N 15TH AVE STE 101",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597153289",
"telephone_number": "406-595-2234",
"fax_number": "406-577-2285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAARER",
"first_name": "NINA",
"middle_name": "DEGIDIO",
"name_prefix": "Mrs.",
"credential": "LMT, MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-22",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "MT",
"license": "1173",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "1173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.