Individual provider Active NPI

Valerie Katherine Kirby-Johnson, RN, BSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1073282950
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
178713 Issued in MT
Practice address
33 Cherokee Dr
Great Falls, MT 59404-6413
Phone
(406) 781-4111
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 178713 MT Primary
Registered Nurse 163W00000X 23308 MT

Addresses

Primary practice location

33 Cherokee Dr
Great Falls, MT 59404-6413

Mailing address

33 Cherokee Dr
Great Falls, MT 59404-6413
Phone (406) 781-2411

Other practice location 1

5 W Mendenhall St Ste 202
Bozeman, MT 59715-3566
Phone (406) 219-7233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427001572 MT Practitioner - Nurse Practitioner 0446647119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
406 Recovery Inc 13 clinicians

Practice addresses (Care Compare)

5 W Mendenhall St
Suite 202
Bozeman, MT 59715-3566
Phone (406) 219-7233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
23308MTMDRegistered Nurse
178713MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
406 Recovery Inc CurrentSince Jun 5, 2023 Accepting new patients

Locations

100 N 27th St
Ste 200
Billings, MT 59101
Phone (406) 219-7233

5 W Mendenhall St
Ste 202
Bozeman, MT 59715
Phone (406) 219-7233

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1073282950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHEROKEE DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046413",
            "telephone_number": "406-781-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHEROKEE DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046413",
            "telephone_number": "406-781-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 W Mendenhall St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597153566",
            "country_code": "US",
            "telephone_number": "406-219-7233",
            "fax_number": "888-798-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY-JOHNSON",
        "first_name": "VALERIE",
        "middle_name": "KATHERINE",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "178713",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "23308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.