Nicole Marie Cirilli, BS, RD, LN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86131643 Issued in MT

Practice address

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Phone

(406) 327-4162

Fax

(406) 327-4176

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Missoula Community Health Services, Inc

  • General Practice Physician
  • Superior, MT
  • NPI 1710165105
  Medicare reassignment NPD
• Missoula Community Health Services, Inc.

  • Family Medicine Physician
  • Saint Regis, MT
  • NPI 1225836554
  Medicare reassignment NPD
• Missoula Community Health Services, Inc.

  • Critical Access Hospital
  • Superior, MT
  • NPI 1902990005
  Medicare reassignment NPD
• RCHP Billings - Missoula LLC

  • Specialist
  • Missoula, MT
  • NPI 1376946913
  Medicare reassignment NPD
• Missoula Community Health Services, Inc

  • Multi-Specialty Clinic/Center
  • Superior, MT
  • NPI 1073080461
  NPD
• RCHP Billings - Missoula LLC

  • Medical Oncology Physician
  • Missoula, MT
  • NPI 1891164125
  NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1194372144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 FORT MISSOULA RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047408",
            "telephone_number": "406-327-4162",
            "fax_number": "406-327-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLI",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "BS, RD, LN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MT",
            "license": "MED-NUTR-LIC-78436",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MT",
            "license": "86131643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuck Wayland LCSW LLC
• Valerie Chyle, APRN - FNP
• Cindie Woods, LCSW, PLLC
• Cindy R Bryson LLC
• Christina Cipriano, LCPC, NCC, CBIS
• City of Missoula
• Claire Manny Counseling LLC
• Clancy L. Cone, MD, PC
• Jordan R Clarfield, MSC, MA
• Clark Fork Behavioral Health Inc.

• Registered Dietitian in Missoula, MT
• Providers in Missoula, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.