NPIMap

Individual provider Active NPI

Elizabeth M Seymour, APRN

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1134614712
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-127106 Issued in MT
Practice address
1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413
Phone
(406) 314-6400
Fax
(406) 314-6401
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-127106 MT Primary

Addresses

Primary practice location

1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413

Mailing address

1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413
Phone (406) 314-6400

Other practice location 1

119 E Idaho St
Kalispell, MT 59901-4011
Phone (406) 314-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913002280 MT Practitioner - Nurse Practitioner 5193075034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Laser and Medical Center PLLCGroup PAC ID 7517246663, 4 clinicians

Practice addresses (Care Compare)

1327 US Hwy 2 W
Suite 2
Kalispell, MT 59901-3531
Phone (406) 314-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-127106MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Laser and Medical Center, PLLC CurrentSince Jul 14, 2018 Accepting new patients

Locations

1327 US Highway 2 W
Ste 2
Kalispell, MT 59901
Phone (406) 314-6400

119 E Idaho St
Kalispell, MT 59901
Phone (406) 260-5105

Interoperability endpoints

  • Direct secure messaging: elizabeth.seymour.1@29513.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1134614712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 US HIGHWAY 2 W STE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-314-6400",
            "fax_number": "406-314-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 US HIGHWAY 2 W STE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-314-6400",
            "fax_number": "406-314-6401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 E Idaho St",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599014011",
            "country_code": "US",
            "telephone_number": "406-314-6400",
            "fax_number": "406-314-6401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEYMOUR",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-127106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.