Maria Wines, PNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN25738 Issued in MT

Practice address

1114 W Main
South Valley Pediatrics
Hamilton, MT 59840

Phone

(406) 363-5013

Fax

(406) 363-3714

NPI assigned

Aug 11, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1912909722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 W MAIN",
            "address_2": "SOUTH VALLEY PEDIATRICS",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-363-5013",
            "fax_number": "406-363-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 W MAIN",
            "address_2": "SOUTH VALLEY PEDIATRICS",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "59840",
            "telephone_number": "406-363-5013",
            "fax_number": "406-363-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES",
        "first_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN25738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NOT SPECIFIED",
            "identifier": "RN 25738",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "373490",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4306168",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William L. Suda, PH.D., P.C.
• Alicia Michele Williams, PA-C
• Travis Williams, DPT
• Chanda Kaye Willse
• David John Wilson
• Shawna Stell Winters
• Wisdom LLC
• Daniel D Wolf, DC
• Timothy Wayne Woods, M.D.
• Richard Zavoda, O.D.

• All providers in Hamilton, MT
• Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.