Active NPI
Kristin Bykonen, RDN
- Obesity and Weight Management Nutrition Registered Dietitian
- Great Falls, MT
National Provider Identifier
1396317681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- Practice address
- 400 13TH Ave S Ste 102
Great Falls, MT 59405-4300 - Phone
- (406) 455-2877
- NPI assigned
- Jul 15, 2021
- Last updated
- Jul 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | MED-NUTR-LIC-58616 | MT | |
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | Primary |
Addresses
Primary practice location
400 13TH Ave S Ste 102
Great Falls, MT 59405-4300
Mailing address
834 36TH Ave NE
Great Falls, MT 59404-1133
Phone (406) 391-2008
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristinbykonen@benefis.org |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-NUTR-LIC-58616 | MT | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626307200000",
"number": "1396317681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 36TH AVE NE",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594041133",
"telephone_number": "406-391-2008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 13TH AVE S STE 102",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594054300",
"telephone_number": "406-455-2877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYKONEN",
"first_name": "KRISTIN",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2021-07-15",
"certification_date": "2021-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "MT",
"license": "MED-NUTR-LIC-58616",
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kristinbykonen@benefis.org",
"affiliation": "N",
"address_1": "400 13th Ave S Ste 102",
"city": "Great Falls",
"state": "MT",
"country_code": "US",
"postal_code": "594054300",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.