Active NPI
Janneke A Volkert, M.D.
- Family Medicine Physician
- Missoula, MT
National Provider Identifier
1336300664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21080
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4109 - Phone
- (406) 258-4130
- Fax
- (406) 258-4197
- NPI assigned
- Jun 19, 2008
- Last updated
- Nov 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 018705 | ME | |
| Family Medicine Physician | 207Q00000X | MD18705 | ME | |
| Family Medicine Physician | 207Q00000X | 21080 | MT | Primary |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4109
Mailing address
401 Railroad St W
Missoula, MT 59802-4109
Phone (406) 258-4130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133630064 | Medicaid | ME |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018705 | ME | MD | Family Medicine Physician |
| MD18705 | ME | MD | Family Medicine Physician |
| 21080 | MT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1336300664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024109",
"telephone_number": "406-258-4130",
"fax_number": "406-258-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024109",
"telephone_number": "406-258-4130",
"fax_number": "406-258-4197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOLKERT",
"first_name": "JANNEKE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "018705",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "MD18705",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "21080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133630064",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.