NPIMap

Individual provider Active NPI

Timothy R Blair Sr., APRN

  • Family Nurse Practitioner
  • Chester, MT
National Provider Identifier
1891101689
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-101672 Issued in MT
Practice address
418 West Madison
Liberty Medical Center Clinic
Chester, MT 59522
Phone
(406) 759-5194
Fax
(406) 759-5105
NPI assigned
Jul 1, 2014
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019516 TN
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-101672 MT Primary
Family Nurse Practitioner 363LF0000X RN169896 GA

Addresses

Primary practice location

418 West Madison
Liberty Medical Center Clinic
Chester, MT 59522

Mailing address

P.O. Box 705
Liberty Medical Center Clinic
Chester, MT 59522-0705
Phone (406) 759-5194

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org Liberty County Hospital and Nursing Home, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118002020 MT Practitioner - Nurse Practitioner 8628396678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Liberty County Hospital and Nursing Home IncGroup PAC ID 0042128480, shared by 3 NPIs, 26 clinicians

Practice addresses (Care Compare)

418 W Monroe Ave
Chester, MT 59522-7835
Phone (406) 759-5194

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-101672MTMDFamily Nurse Practitioner
APN0000019516TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Nov 1, 2016 Accepting new patients
Liberty County Hospital and Nursing Home, Inc CurrentSince Nov 1, 2016 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310

Interoperability endpoints

  • Direct secure messaging: krmcmedicalrecords@krhdirect.org
  • Direct secure messaging: tblair@lchnh.securechart.com

Organizations & group practices 3

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1891101689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 705",
            "address_2": "LIBERTY MEDICAL CENTER CLINIC",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "595220705",
            "telephone_number": "406-759-5194",
            "fax_number": "406-759-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 WEST MADISON",
            "address_2": "LIBERTY MEDICAL CENTER CLINIC",
            "city": "CHESTER",
            "state": "MT",
            "postal_code": "59522",
            "telephone_number": "406-759-5194",
            "fax_number": "406-759-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "name_suffix": "Sr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-01",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019516",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-101672",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Liberty County Hospital and Nursing Home, Inc",
            "address_1": "418 West Monroe Avenue",
            "city": "Chester",
            "state": "MT",
            "country_code": "US",
            "postal_code": "595220506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, MT

Sources for this page

Verify at the official NPI Registry.