Equanimity Health Care, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

EQUANIMITY HEALTH CARE, P.C.

Practice address

1188 N 15TH Ave Ste 3
Bozeman, MT 59715-3290

Phone

(406) 582-1111

Fax

(406) 582-1112

NPI assigned

Jun 24, 2011

Organization subpart

No

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

Authorized official

Name

Michael C Dicello, MDNPI 1720083173

Title

Owner

Phone

(406) 582-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael C Dicello, MD

  • Allergy & Immunology Physician
  • Bozeman, MT
  • NPI 1720083173
  Medicare reassignment Care Compare group NPD Authorized official
• Cindy K Feddes, FNP

  • Nurse Practitioner
  • Bozeman, MT
  • NPI 1427037290
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1356637656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153290",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 N 15TH AVE STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153290",
            "telephone_number": "406-582-1111",
            "fax_number": "406-582-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUANIMITY HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "DICELLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-582-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Krushefski, LCPC Inc.
• Endurance Cycling Studio & Physical Therapy
• Enso PLLC
• Envision Counseling and Consulting, P.C.
• Epicenter Therapy Services PLLC
• Blair Dillard Erb Jr., MD
• Eric Shelkey Dba Active Physical Therapy
• Kara Erickson
• Erin Braaksma, LCSW, PLLC
• Rachel D Esbjornson

• Medical Specialty Clinic/Center in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Medical Specialty Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.