Functional Medicine Associates of Montana

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FUNCTIONAL MEDICINE ASSOCIATES OF MONTANA

Practice address

195 Commons Loop Ste D
Kalispell, MT 59901-1912

Phone

(406) 501-6570

NPI assigned

Oct 29, 2024

Organization subpart

No

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

Authorized official

Name

Brittany Jean Coburn, NP-CNPI 1033427935

Title

Family Nurse Practitioner/Co-Owner

Phone

(406) 501-6570

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Brittany Jean Coburn, NP-C

  • Family Nurse Practitioner
  • Columbia Falls, MT
  • NPI 1033427935
  NPD Authorized official

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1104648211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE D",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-501-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE D",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-501-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICINE ASSOCIATES OF MONTANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/CO-OWNER",
        "authorized_official_telephone_number": "406-501-6570",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Friedman, M.D.
• Becky Frogge, RN
• Full Cup Medicine, PLLC
• Laurel Allison Fullerton, P.T.
• Thomas P Fullerton, D.C.
• Funderburk Psychological Services
• Glenda M. Funk, M.S., CCC-SLP
• Gabriel R Perjessy
• Trent Gahl, OT
• Gallatin Health & Rehab, LLC

• Family Medicine Physician in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.