Individual provider Active NPI

Kaitlyn May Galica Huckeby, APRN

  • Adult Health Nurse Practitioner
  • Butte, MT
National Provider Identifier
1235874850
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
194548 Issued in MT
Practice address
435 S Crystal St
Butte, MT 59701-1506
Phone
(406) 496-3670
NPI assigned
Apr 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 194548 MT Primary

Addresses

Primary practice location

435 S Crystal St
Butte, MT 59701-1506

Mailing address

5925 Albany Ave
Butte, MT 59701-7402
Phone (406) 498-5009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601002799 MT Practitioner - Nurse Practitioner 8426436528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCL Health Medical Group-Butte LLCGroup PAC ID 2466633102, 109 clinicians

Practice addresses (Care Compare)

3636 Harrison Ave
Butte, MT 59701-3571
Phone (406) 496-3600

400 S Clark St
Butte, MT 59701-2328
Phone (406) 495-7260

Hospital & facility affiliations

  • St James Hospital Hospital, Butte, MT, CCN 270017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
194548MTMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCL Health Medical Group-Butte LLC Current Accepting new patients
SCL Health Medical Group-Butte LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

3636 Harrison Ave
Butte, MT 59701
Phone (385) 216-5963

435 S Crystal St
Butte, MT 59701
Phone (406) 496-3600

Organizations & group practices 2

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 2

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1235874850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 ALBANY AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597017402",
            "telephone_number": "406-498-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011506",
            "telephone_number": "406-496-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCKEBY",
        "first_name": "KAITLYN",
        "middle_name": "MAY GALICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "194548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

Verify at the official NPI Registry.