Active NPI
Kari Mariah Jurgens, OTR
- Occupational Therapist
- Whitefish, MT
National Provider Identifier
1194861914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 839
- Practice address
- 4780 Whitefish Stage Rd
Whitefish, MT 59937-8486 - Phone
- (406) 863-9204
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 839 | MT | Primary |
Addresses
Primary practice location
4780 Whitefish Stage Rd
Whitefish, MT 59937-8486
Mailing address
4780 Whitefish Stage Rd
Whitefish, MT 59937-8486
Phone (406) 863-9204
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660960 | Other | MT | OT BCBS NUMBER |
| 0348755 | Medicaid | MT |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 839 | MT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194861914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4780 WHITEFISH STAGE RD",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599378486",
"telephone_number": "406-863-9204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4780 WHITEFISH STAGE RD",
"city": "WHITEFISH",
"state": "MT",
"postal_code": "599378486",
"telephone_number": "406-863-9204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURGENS",
"first_name": "KARI",
"middle_name": "MARIAH",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT BCBS NUMBER",
"identifier": "660960",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0348755",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitefish, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.