Individual provider Active NPI

Theresa M. Kinney

  • Integrative Medicine Physician
  • Billings, MT
National Provider Identifier
1386183622
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
124572 Issued in MT
Practice address
926 Main St Ste 6
Billings, MT 59105-3359
Phone
(406) 880-9838
NPI assigned
Feb 20, 2017
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X APRN124572 MT
Adult Health Nurse Practitioner 363LA2200X 124572 MT
Integrative Medicine Physician 202D00000X 124572 MT Primary

Addresses

Primary practice location

926 Main St Ste 6
Billings, MT 59105-3359

Mailing address

926 Main St Ste 6
Billings, MT 59105-3359
Phone (406) 880-9838

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
I20250529001144 MT Practitioner - Nurse Practitioner 5890062301 Practice locations: Billings, MT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124572MTMDIntegrative Medicine Physician
APRN124572MTMDPrimary Care Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1386183622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 MAIN ST STE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053359",
            "telephone_number": "406-880-9838",
            "fax_number": "406-831-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 MAIN ST STE 6",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591053359",
            "telephone_number": "406-880-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "THERESA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MT",
            "license": "APRN124572",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MT",
            "license": "124572",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "MT",
            "license": "124572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.