Active NPI
Debra Lynn Seymour, COSMETOLOGIST
- Specialist
- Butte, MT
National Provider Identifier
1891835997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1583
- Practice address
- 216 E Front St
Butte, MT 59701-5204 - Phone
- (406) 782-5775
- Fax
- (406) 782-0755
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1583 | MT | Primary |
Addresses
Primary practice location
216 E Front St
Butte, MT 59701-5204
Mailing address
216 E Front St
Butte, MT 59701-5204
Phone (406) 782-5775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5606692 | Medicaid | MT |
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 |
|---|---|---|---|
| 1583 | MT | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1891835997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 E FRONT ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597015204",
"telephone_number": "406-782-5775",
"fax_number": "406-782-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 E FRONT ST",
"city": "BUTTE",
"state": "MT",
"postal_code": "597015204",
"telephone_number": "406-782-5775",
"fax_number": "406-782-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEYMOUR",
"first_name": "DEBRA",
"middle_name": "LYNN",
"credential": "COSMETOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MT",
"license": "1583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5606692",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.