Individual provider Active NPI

Kathleen Mauer, FNP

  • Nurse Practitioner
  • Whitefish, MT
National Provider Identifier
1043286529
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN8387 Issued in MT
Practice address
Outpost Rd
Whitefish, MT 59937
Phone
(406) 862-1717
NPI assigned
Feb 24, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN8387 MT Primary

Addresses

Primary practice location

Outpost Rd
Whitefish, MT 59937

Mailing address

Outpost Rd
Whitefish, MT 59937
Phone (406) 862-1717

Other identifiers 2

IdentifierTypeStateIssuer
0000374020OtherMTNVH OUTPOST (NP)
4302258MedicaidMT

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

LicenseStateTypeSpecialty
RN8387MTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish 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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043286529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OUTPOST RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "59937",
            "telephone_number": "406-862-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OUTPOST RD",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "59937",
            "telephone_number": "406-862-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUER",
        "first_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN8387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVH OUTPOST (NP)",
            "identifier": "0000374020",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302258",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.