Active NPI
Karen Skonord, N.P.
- Family Nurse Practitioner
- Kalispell, MT
National Provider Identifier
1063453181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN006655
- Practice address
- 2282 US Highway 93 S Apt 1
Kalispell, MT 59901 - Phone
- (406) 756-8721
- Fax
- (406) 257-4054
- NPI assigned
- Jun 9, 2006
- 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 | RN006655 | MT | Primary |
Addresses
Primary practice location
2282 US Highway 93 S Apt 1
Kalispell, MT 59901
Mailing address
2282 US Highway 93 S Apt 1
Kalispell, MT 59901-8536
Phone (406) 756-8721
Other practice location 1
1287 Burns Way
Kalispell, MT 59901-3109
Phone (406) 752-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432548 | Medicaid | 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 |
|---|---|---|---|
| RN006655 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suzanne C Gullotta | Family | Past | Accepting new patients |
| Sunburst Health LLC | Past | Accepting new patients | |
| Lakeside Clinic P.C. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Somers, MT
- NPI 1053665091
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1093297764
-
- Family Nurse Practitioner
- Somers, MT
- NPI 1699872010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584921600000",
"number": "1063453181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2282 US HIGHWAY 93 S APT 1",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599018536",
"telephone_number": "406-756-8721",
"fax_number": "406-257-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2282 US HIGHWAY 93 S APT 1",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-756-8721",
"fax_number": "406-257-4054"
}
],
"practiceLocations": [
{
"address_1": "1287 Burns Way",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013109",
"country_code": "US",
"telephone_number": "406-752-8120",
"fax_number": "406-752-8896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKONORD",
"first_name": "KAREN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2020-03-23",
"certification_date": "2020-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "RN006655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432548",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.