Body Balance Health and Wellness Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BODY BALANCE HEALTH AND WELLNESS CLINIC LLC

Practice address

715 S Main St
Kalispell, MT 59901-5358

Phone

(406) 606-6160

Fax

(406) 890-6645

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Susan D. McEwen, FNP-CNPI 1598086522

Title

Family Nurse Practitioner

Phone

(406) 261-4062

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan D McEwen, FNP

  • Family Nurse Practitioner
  • Kalispell, MT
  • NPI 1598086522
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738972800000",
    "number": "1083484877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 ORCHARD RIDGE RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017565",
            "telephone_number": "406-261-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S MAIN ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015358",
            "telephone_number": "406-606-6160",
            "fax_number": "406-890-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE HEALTH AND WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "406-261-4062",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Goddess LLC
• Bluebird Health Imaging, PLLC
• Bluebird Health, PLLC
• Gabor Bodonyi-Kovacs, MD
• Susan E Bodurtha, RN, CNS
• Terese Boeder
• William M Boehme, MD
• Michael George Boharski, M.D.
• Alexander Bokor, MD
• Jenna Mae Boles, LAC

• Family Nurse Practitioner in Kalispell, MT
• Providers in Kalispell, 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 Feb 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.