Individual provider Active NPI

Courtney Charlotte Shanahan, APRN, FNP-C

  • Family Nurse Practitioner
  • Hamilton, MT
National Provider Identifier
1942748785
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-124361 Issued in MT
Practice address
1224 W Main St
Marcus Daly Memorial Hospital and Clinics
Hamilton, MT 59840-2338
Phone
(406) 375-4823
Fax
(406) 375-4846
NPI assigned
Jan 31, 2017
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-124361 MT Primary

Addresses

Primary practice location

1224 W Main St
Marcus Daly Memorial Hospital and Clinics
Hamilton, MT 59840-2338

Mailing address

1251 Aspen Valley Dr
Hailey, ID 83333-8704
Phone (406) 531-7652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615002730 MT Practitioner - Nurse Practitioner 9032487053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sapphire Community Health IncGroup PAC ID 8123153244, 38 clinicians

Practice addresses (Care Compare)

1200 Westwood Dr
Hamilton, MT 59840-2345

1270 Westwood Dr
Suite 2
Hamilton, MT 59840-2345
Phone (406) 375-4758

316 N 3Rd St
Hamilton, MT 59840-2480
Phone (406) 541-0032

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-124361MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marcus Daly Memorial Hospital Corporation CurrentSince May 8, 2017 Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation Current Accepting new patients
Marcus Daly Memorial Hospital Corporation CurrentSince May 8, 2017 Accepting new patients
Marcus Daly Memorial Hospital Corporation Past Accepting new patients

Locations

1200 Westwood Dr
Hamilton, MT 59840
Phone (406) 363-2211

1200 Westwood Dr
Ste I
Hamilton, MT 59840
Phone (406) 363-1100

1224 W Main St
Hamilton, MT 59840
Phone (406) 375-4823

3975 US Highway 93 N
Stevensville, MT 59870
Phone (406) 375-4824

Interoperability endpoints

  • Direct secure messaging: courtneyshanahan@mdmh.cernerdirect.com

Organizations & group practices 6

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1942748785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 ASPEN VALLEY DR",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338704",
            "telephone_number": "406-531-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W MAIN ST",
            "address_2": "MARCUS DALY MEMORIAL HOSPITAL AND CLINICS",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402338",
            "telephone_number": "406-375-4823",
            "fax_number": "406-375-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANAHAN",
        "first_name": "COURTNEY",
        "middle_name": "CHARLOTTE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-124361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.