Active NPI
Mary Lou Iverson, RN
- Diabetes Educator Registered Nurse
- Billings, MT
National Provider Identifier
1972733947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 11364
- Practice address
- 123 S 27TH St
Billings, MT 59101-4200 - Phone
- (406) 247-3350
- Fax
- (406) 247-3307
- NPI assigned
- Jul 23, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 11364 | MT | Primary |
Addresses
Primary practice location
123 S 27TH St
Billings, MT 59101-4200
Mailing address
123 S 27TH St
Billings, MT 59101-4200
Phone (406) 247-3350
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11364 | MT | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1972733947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S 27TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014200",
"telephone_number": "406-247-3350",
"fax_number": "406-247-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S 27TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014200",
"telephone_number": "406-247-3350",
"fax_number": "406-247-3307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVERSON",
"first_name": "MARY",
"middle_name": "LOU",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-23",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "MT",
"license": "11364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.