Nita Gayle Kolias

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

000000035 Issued in MT

Practice address

3616 1St Ave S
Great Falls, MT 59401-3522

Phone

(406) 315-3167

NPI assigned

Oct 25, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empowered Living Solutions

  • Adult Care Home Facility
  • Idaho Falls, ID
  • NPI 1649019837
  NPD (past)

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1124890942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013522",
            "telephone_number": "406-315-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 1ST AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594013522",
            "telephone_number": "406-315-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLIAS",
        "first_name": "NITA",
        "middle_name": "GAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MT",
            "license": "000000035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica D Koffler, LCPC
• Vanessa Marie Kohl, LICSW
• Michelle Elizabeth Kohler, LCSW
• Kelsey Annette Kojetin, LCPC
• Courtney Lynn Kolias, LAC
• Tammy Leann Kolstad, LCPC
• Rose M Kommers, PHARMD, RPH
• Jeanette H. Kornick, COTA/L
• Dimitrios Koudoumas, M.D., PH.D
• Jessica Lee Krahn, DPT

• Adult Care Home Facility in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Adult Care Home Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.