Active NPI
Donna Mae Bristow, FNP
- Family Nurse Practitioner
- Helena, MT
National Provider Identifier
1982828968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN17643
- Practice address
- 405 Saddle Dr
Helena, MT 59601-5632 - Phone
- (406) 447-2941
- Fax
- (406) 447-2975
- NPI assigned
- Apr 12, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN17643 | MT | Primary |
Addresses
Primary practice location
405 Saddle Dr
Helena, MT 59601-5632
Mailing address
PO Box 6369
Helena, MT 59604-6369
Phone (406) 447-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434435 | Medicaid | MT | |
| 37275 | Other | MT | BCBS OF 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN17643 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter's Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982828968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6369",
"city": "HELENA",
"state": "MT",
"postal_code": "596046369",
"telephone_number": "406-447-2828",
"fax_number": "406-447-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 SADDLE DR",
"city": "HELENA",
"state": "MT",
"postal_code": "596015632",
"telephone_number": "406-447-2941",
"fax_number": "406-447-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRISTOW",
"first_name": "DONNA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "RN17643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0434435",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MT",
"identifier": "37275",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.