Individual provider Active NPI

Kammiell Smith

  • Psychiatric/Mental Health Nurse Practitioner
  • Warm Springs, MT
National Provider Identifier
1437430246
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20295 Issued in MT
Practice address
300 Garnet Way
Warm Springs, MT 59756-0300
Phone
(406) 693-7008
Fax
(406) 444-3082
NPI assigned
Sep 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 20295 MT Primary

Addresses

Primary practice location

300 Garnet Way
Warm Springs, MT 59756-0300

Mailing address

100 Garnet Way
PO Box 300
Warm Springs, MT 59756-9705
Phone (406) 693-7008

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
I20111108000447 MT Practitioner - Nurse Practitioner 7113190190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry Associates PCGroup PAC ID 6103865563, 6 clinicians

Practice addresses (Care Compare)

2078 Stadium Dr
Suite 101
Bozeman, MT 59715-7204
Phone (406) 587-0810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20295MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry Associates PC CurrentSince Jul 9, 2019 Accepting new patients

Locations

2078 Stadium Dr
Ste 101
Bozeman, MT 59715
Phone (406) 587-0810

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.

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1437430246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GARNET WAY",
            "address_2": "PO BOX 300",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597569705",
            "telephone_number": "406-693-7008",
            "fax_number": "406-444-3082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARNET WAY",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597560300",
            "telephone_number": "406-693-7008",
            "fax_number": "406-444-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KAMMIELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "20295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warm Springs, MT

Sources for this page

Verify at the official NPI Registry.