Kristie Ann Murphy

Individual provider Active NPI Adult Care Home Facility · Butte, MT

NPI 1104069467 · NPPES record last updated Apr 15, 2009

Key facts

NPI
1104069467
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
License
0038433-001 (MT)
Practice address
1831 A St
Butte, MT 59701-6010
Phone
(406) 723-7950
NPI assigned
Apr 15, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0038433-001MTMDAdult Care Home Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 0038433-001 MT Yes

Addresses

Primary practice location

1831 A St
Butte, MT 59701-6010

Mailing address

1831 A St
Butte, MT 59701-6010
Phone (406) 723-7950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 15, 2009.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1104069467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 A ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016010",
            "telephone_number": "406-723-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 A ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016010",
            "telephone_number": "406-723-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "KRISTIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MT",
            "license": "0038433-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

All providers in Butte, MT · Adult Care Home Facility in Montana

Sources for this page

Verify at the official NPI Registry.