Individual provider Active NPI

Kimberley Marie Forthofer, A.R.N.P

  • Family Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1356675201
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
N360112654 Issued in WA
Practice address
210 Sunnyview LN
Suite 201
Kalispell, MT 59901-3135
Phone
(406) 752-5252
Fax
(406) 752-5261
NPI assigned
Sep 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X N360112654 WA Primary

Addresses

Primary practice location

210 Sunnyview LN
Suite 201
Kalispell, MT 59901-3135

Mailing address

210 Sunnyview LN
Suite 201
Kalispell, MT 59901-3135
Phone (406) 752-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130816000181 MT Practitioner - Nurse Practitioner 7911149216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alpine Womens Center PCGroup PAC ID 1557433869, 5 clinicians

Practice addresses (Care Compare)

2002 Hospital Way
Whitefish, MT 59937-7858
Phone (406) 862-6436

Hospital & facility affiliations

  • Logan Health - Whitefish Hospital, Whitefish, MT, CCN 271336
  • Logan Health Medical Center Hospital, Kalispell, MT, CCN 270051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N360112654WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Womens Center PC CurrentSince Apr 13, 2021 Accepting new patients

Locations

210 Sunnyview Ln
Ste 201
Kalispell, MT 59901
Phone (406) 752-5252

2002 Hospital Way
Whitefish, MT 59937
Phone (406) 314-0010

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1356675201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN",
            "address_2": "SUITE 201",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013135",
            "telephone_number": "406-752-5252",
            "fax_number": "406-752-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN",
            "address_2": "SUITE 201",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013135",
            "telephone_number": "406-752-5252",
            "fax_number": "406-752-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTHOFER",
        "first_name": "KIMBERLEY",
        "middle_name": "MARIE",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "N360112654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.