Individual provider Active NPI

Ellen R. Kaphammer, R.N.

  • Registered Nurse
  • St. Ignatius, MT
National Provider Identifier
1124537253
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
77845 Issued in MT
Practice address
35401 Mission Dr.
St. Ignatius, MT 59865
Phone
(406) 745-3525
Fax
(406) 745-3529
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 77845 MT Primary

Addresses

Primary practice location

35401 Mission Dr.
St. Ignatius, MT 59865

Mailing address

P.O. Box 880
St. Ignatius, MT 59865
Phone (406) 745-3525

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
77845MTMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1124537253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 880",
            "city": "ST. IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-3529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR.",
            "city": "ST. IGNATIUS",
            "state": "MT",
            "postal_code": "59865",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPHAMMER",
        "first_name": "ELLEN",
        "middle_name": "R.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "77845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.