Kathryn M Isakson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MED-PAC-LIC-79758 Issued in MT

Practice address

445 Centennial Ave
Butte, MT 59701-2870

Phone

(406) 723-4075

NPI assigned

Oct 16, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathryn M Tabaracci Former name

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butte Silver Bow Primary Health Care Clinic IncGroup PAC ID 3870402845, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Home Health - Butte Home health agency, Butte, MT, CCN 277058
• St James Hospital Hospital, Butte, MT, CCN 270017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ktabaracci292830@direct.ochin.org

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.

• Butte Silver Bow Primary Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Butte, MT
  • NPI 1285725143
  Medicare reassignment Care Compare group
• Butte Silver Bow Primary Health Care Clinic Inc

  • Community/Retail Pharmacy
  • Dillon, MT
  • NPI 1144883984
  NPD
• Butte Silver Bow Primary Health Care Clinic Inc

  • Federally Qualified Health Center (FQHC)
  • Dillon, MT
  • NPI 1235238718
  NPD

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

• Beta Factor Home Care, LLC

  • Home Health Agency
  • Butte, MT
  • NPI 1982963930
  Care Compare affiliation
• St James Healthcare

  • General Acute Care Hospital
  • Butte, MT
  • NPI 1528037215
  Care Compare affiliation
• St. James Healthcare

  • Clinical Medical Laboratory
  • Butte, MT
  • NPI 1023355849

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1245872738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075",
            "fax_number": "406-496-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 CENTENNIAL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012870",
            "telephone_number": "406-723-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSON",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-79758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "TABARACCI",
            "middle_name": "M",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ideal Telemedicine Services, LLC
• Demarcus Iglehart, LCPC,LPC, LMHC
• Patricia M Ingalls, AU.D.
• Into the Groove
• Ron Ludwig Isacco, OTR/L
• Laura D Iverson, RD
• J Michael Driscoll, MD PC
• James Samuel Stroeher, D.D.S., P.C.
• Jessica Ann Janecke, PHARM D
• Stephanie Janhunen, LAC

• Physician Assistant in Butte, MT
• Providers in Butte, MT by specialty
• Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.