Active NPI
Kimberly Ellingson Kotur, APRN-BC FNP
- Family Nurse Practitioner
- Bozeman, MT
National Provider Identifier
1114093077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN10809
- Practice address
- South 7TH Ave
Swingle Student Health Service
Bozeman, MT 59717-3260 - Phone
- (406) 994-2311
- Fax
- (406) 994-2504
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN10809 | MT | Primary |
Addresses
Primary practice location
South 7TH Ave
Swingle Student Health Service
Bozeman, MT 59717-3260
Mailing address
PO Box 173260
Swingle Student Health Service South 7TH Ave
Bozeman, MT 59717-3260
Phone (406) 994-2311
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN10809 | MT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Student Health Service | Past | Accepting new patients | |
| Montana State University | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic Pharmacy
- Bozeman, MT
- NPI 1073653218
-
- Student Health Clinic/Center
- Bozeman, MT
- NPI 1407123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114093077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173260",
"address_2": "SWINGLE STUDENT HEALTH SERVICE SOUTH 7TH AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597173260",
"telephone_number": "406-994-2311",
"fax_number": "406-994-2504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SOUTH 7TH AVE",
"address_2": "SWINGLE STUDENT HEALTH SERVICE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597173260",
"telephone_number": "406-994-2311",
"fax_number": "406-994-2504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTUR",
"first_name": "KIMBERLY",
"middle_name": "ELLINGSON",
"name_prefix": "Mrs.",
"credential": "APRN-BC FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "RN10809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.