Brittany Jean Coburn, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

100710 Issued in MT

Practice address

1675 Talbot Rd.
Columbia Falls, MT 59912

Phone

(406) 892-3208

NPI assigned

Sep 14, 2010

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brittany Jean Willey Other name

Electronic endpoints 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2025 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krmcmedicalrecords@krhdirect.org

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.

• Functional Medicine Associates of Montana

  • Family Medicine Physician
  • Kalispell, MT
  • NPI 1104648211
  NPD Authorized official
• Kalispell Regional Medical Center, Inc

  dba Logan Health School Based Health Center

  • Primary Care Clinic/Center
  • Kalispell, MT
  • NPI 1962084541
  NPD
• Logan Health - Whitefish

  dba Logan Health Rural Health Clinic- Eureka

  • Rural Health Clinic/Center
  • Eureka, MT
  • NPI 1336115849
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1033427935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WEBB LN",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599128629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 TALBOT RD.",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "59912",
            "telephone_number": "406-892-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Heritage Way Ste 103",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013127",
            "country_code": "US",
            "telephone_number": "406-871-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 School Addition Rd",
            "address_purpose": "LOCATION",
            "city": "Somers",
            "state": "MT",
            "postal_code": "599329613",
            "country_code": "US",
            "telephone_number": "406-871-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Bigfork",
            "state": "MT",
            "postal_code": "599113677",
            "country_code": "US",
            "telephone_number": "406-871-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "897 Lake Blaine Rd",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599017648",
            "country_code": "US",
            "telephone_number": "406-871-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "797 Fairmont Rd",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599017834",
            "country_code": "US",
            "telephone_number": "406-871-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2165 9th St W",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599124416",
            "country_code": "US",
            "telephone_number": "406-892-3208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN",
        "first_name": "BRITTANY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "33463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "100710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "160 Heritage Way Ste 103",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "797 Fairmont Rd",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599017834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "897 Lake Blaine Rd",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599017648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "600 Commerce St",
            "city": "Bigfork",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599113677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "315 School Addition Rd",
            "city": "Somers",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599329613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DEPTLHREVIntegrityHIMTechs@logan.org",
            "affiliation": "Y",
            "affiliationName": "Kalispell Regional Medical Center, Inc",
            "address_1": "160 Heritage Way Ste 103",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "WILLEY",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meghan Caldwell, RPH
• Leah J Carlburg, MD
• Maryann Carlson, MD
• Caleb Chuang, DPT
• Robert Clase, DPM
• Colleen D Johnson, Counseling, LLC
• Kelly Ann Coloff
• Columbia Falls Eyecare, PC
• Columbia Falls Family Dental Center PC (Smile Montana Dental Center)
• Loni R Conley, RN, BSN

• Family Nurse Practitioner in Columbia Falls, MT
• Providers in Columbia Falls, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.