Individual provider Active NPI

Cathleen Ann Simensen, WHCNP

  • Women's Health Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1114953734
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN10695 Issued in MT
Practice address
75 Claremont St
Kalispell, MT 59901-3585
Phone
(406) 752-8282
Fax
(406) 257-2225
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN10695 MT Primary

Addresses

Primary practice location

75 Claremont St
Kalispell, MT 59901-3585

Mailing address

128 Crestline Ave
Kalispell, MT 59901-3558
Phone (406) 752-8282

Other identifiers 1

IdentifierTypeStateIssuer
4302360MedicaidMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address krmcmedicalrecords@krhdirect.org HealthCenter Northwest LLC

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN10695MTMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114953734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 CRESTLINE AVE",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013558",
            "telephone_number": "406-752-8282",
            "fax_number": "406-257-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CLAREMONT ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013585",
            "telephone_number": "406-752-8282",
            "fax_number": "406-257-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMENSEN",
        "first_name": "CATHLEEN",
        "middle_name": "ANN",
        "credential": "WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "RN10695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302360",
            "state": "MT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krmcmedicalrecords@krhdirect.org",
            "affiliation": "Y",
            "affiliationName": "HealthCenter Northwest LLC",
            "address_1": "75 Claremont St",
            "address_2": "Suite A",
            "city": "Kalispell",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599013585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.