Carissa Marie Cardiff, APRN-FNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

NUR-APRN-LIC-212012 Issued in MT

Practice address

1311 11TH St W
Billings, MT 59102-4205

Phone

(406) 530-5096

Fax

(406) 794-0745

NPI assigned

Jan 6, 2023

Last updated

Aug 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carissa Marie Maggard Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1275247199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 11TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024205",
            "telephone_number": "406-530-5096",
            "fax_number": "406-794-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 11TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024205",
            "telephone_number": "406-530-5096",
            "fax_number": "406-794-0745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13805 63rd Dr NW",
            "address_purpose": "LOCATION",
            "city": "Stanwood",
            "state": "WA",
            "postal_code": "982925640",
            "country_code": "US",
            "telephone_number": "406-530-5096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDIFF",
        "first_name": "CARISSA",
        "middle_name": "MARIE",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN-190701",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "NUR-APRN-LIC-212012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "61440003",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARISSA",
            "last_name": "MAGGARD",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bridget Susan Cannon, P.T.
• Bryan Cantwell, MS, LCPC
• Lindsay R Cantwell, DNP, FNP-C
• Stephanie B. Canty, MD
• Amy Card, LCPC
• Cardiovascular Anesthesiologists, P.C.
• Cardiovascular Consultants of Montana, PLLC
• Cathy Cardneaux
• Care 4 You Mt LLC
• Care Planning Institute, Inc

• Family Medicine Physician in Billings, MT
• Providers in Billings, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.