Wellformed AI

NPI 1821548579 · live from the CMS NPI Registry

Ivy Donath

Contractor in Boulder, MT. National Provider Identifier 1821548579, active.

NPI record

NPI1821548579 Type 1 · individual
StatusActive
Primary specialtyContractor 171W00000X
Practice locationPo Box 791, Boulder, MT 59632
Practice phone406-830-1332
EnumeratedOctober 6, 2016
Last updatedSeptember 13, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
In Home Supportive Care253Z00000X—
Specialist, Research Study1744R1102X—
Respite Care385H00000X—
Home Health Aide374U00000X—
Specialist, Graphics Designer1744G0900X—
Community/Behavioral Health251S00000X—
Driver172A00000X—
Specialist174400000X—
Private Vehicle347C00000X—
Nurse's Aide376K00000X—
Contractor primary171W00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.