Active NPI
Kyle A Spang, CRT
- Peer Specialist
- Billings, MT
National Provider Identifier
1265320600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- BBH-BHPS-CRT-72231
- Practice address
- 1125 Broadwater Ave
Billings, MT 59102-5412 - Phone
- (406) 534-4558
- NPI assigned
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- No
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.
-
- Federally Qualified Health Center (FQHC)
- Billings, MT
- NPI 1649754300
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 |
|---|---|---|---|
| BBH-BHPS-CRT-72231 | MT | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Development Corporation | Current | Accepting new patients |
Locations
1125 Broadwater Ave
Billings, MT 59102
Phone (406) 534-4558
17 N 26th St
Billings, MT 59101
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | BBH-BHPS-CRT-72231 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1125 Broadwater Ave
Billings, MT 59102-5412
Mailing address
17 N 26TH St
Billings, MT 59101-2303
Phone (406) 534-4558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 25, 2025.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1265320600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 N 26TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012303",
"telephone_number": "406-534-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 BROADWATER AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591025412",
"telephone_number": "406-534-4558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANG",
"first_name": "KYLE",
"middle_name": "A",
"credential": "CRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MT",
"license": "BBH-BHPS-CRT-72231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.