Individual provider Active NPI

Karen Skonord, N.P.

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1063453181
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN006655 Issued in MT
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

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
432548MedicaidMT

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
RN006655MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suzanne C Gullotta Family Past Accepting new patients
Sunburst Health LLC PastSince Feb 3, 2010 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.

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.

Verify at the official NPI Registry.