Active NPI
Patricia Carrick, NP
- Nurse Practitioner
- Dillon, MT
National Provider Identifier
1992806863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN017332
- Practice address
- 30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513 - Phone
- (406) 683-4440
- Fax
- (406) 683-1121
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN017332 | MT | Primary |
Addresses
Primary practice location
30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513
Mailing address
30 Hwy 91 S
Suite 100
Dillon, MT 59725-3513
Phone (406) 683-4440
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 |
|---|---|---|---|
| RN017332 | MT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992806863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 HWY 91 S",
"address_2": "SUITE 100",
"city": "DILLON",
"state": "MT",
"postal_code": "597253513",
"telephone_number": "406-683-4440",
"fax_number": "406-683-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HWY 91 S",
"address_2": "SUITE 100",
"city": "DILLON",
"state": "MT",
"postal_code": "597253513",
"telephone_number": "406-683-4440",
"fax_number": "406-683-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRICK",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "RN017332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, MT
- Jackie Bush
- Butte Silver Bow Primary Health Care Clinic Inc (Blacktail Health Pharmacy)
- Butte Silver Bow Primary Health Care Clinic Inc (Blacktail Dental)
- C Curtis Blake M.D.
- Care Planning Institute, Inc
- Carolyn Joan Chiappetta, LCPC
- Michael Clarke, MD
- Meghan Combs, MD
- Concierge OT PLLC
- Caitlin Cooper
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.