Active NPI
Katie Lynn Brennan
- Primary Care Nurse Practitioner
- Helena, MT
National Provider Identifier
1265873319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 38733
- Practice address
- 1211 Echelon PL Ste a
Helena, MT 59602-7693 - Phone
- (406) 461-0974
- NPI assigned
- Jul 17, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 38733 | MT | Primary |
| General Practice Physician | 208D00000X | 100818 | MT |
Addresses
Primary practice location
1211 Echelon PL Ste a
Helena, MT 59602-7693
Mailing address
1211 Echelon PL Ste a
Helena, MT 59602-7693
Phone (406) 370-2426
Other names 1
- Katie Lynn Brennan
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100818 | MT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katie Lynn Brennan LLC | Single Specialty | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1265873319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 ECHELON PL STE A",
"city": "HELENA",
"state": "MT",
"postal_code": "596027693",
"telephone_number": "406-370-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 ECHELON PL STE A",
"city": "HELENA",
"state": "MT",
"postal_code": "596027693",
"telephone_number": "406-461-0974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "KATIE",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MT",
"license": "38733",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "MT",
"license": "100818",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "BRENNAN",
"middle_name": "LYNN",
"credential": "APRN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.