Individual provider Active NPI

Katherine Trahan Edwards, FNP-C

  • Family Nurse Practitioner
  • Helena, MT
National Provider Identifier
1366496986
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-100927 Issued in MT
Practice address
104 W Custer Ave Ste 6
Helena, MT 59602-0106
Phone
(406) 513-1138
Fax
(406) 513-1139
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R28603 ND
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-100927 MT Primary

Addresses

Primary practice location

104 W Custer Ave Ste 6
Helena, MT 59602-0106

Mailing address

104 W Custer Ave Ste 6
Helena, MT 59602-0106
Phone (406) 513-1138

Other names 1

  • Kathy T. Edwards Professional name

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
I20121113000110 MT Practitioner - Nurse Practitioner 3173542487 Practice locations: Helena, MT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

104 W Custer Ave
Helena, MT 59602-0106
Phone (406) 442-3869

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-100927MTMDFamily Nurse Practitioner
R28603NDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kurt G. Datz, DO, PC Past Accepting new patients
Carrington Health Center Past Accepting new patients
Carrington Health Center Past Accepting new patients
Rolla Clinic, P.C. Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Organizations & group practices 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1366496986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W CUSTER AVE STE 6",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020106",
            "telephone_number": "406-513-1138",
            "fax_number": "406-513-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W CUSTER AVE STE 6",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020106",
            "telephone_number": "406-513-1138",
            "fax_number": "406-513-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHERINE",
        "middle_name": "TRAHAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R28603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-100927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "EDWARDS",
            "middle_name": "T.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.