Active NPI
Teresa D Smith-Keil, FNP-C
- Family Nurse Practitioner
- Choteau, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14907
- Practice address
- 915 4TH St NW
Choteau, MT 59422-9123 - Phone
- (406) 466-5763
- Fax
- (406) 466-5842
- NPI assigned
- Jul 25, 2006
- Last updated
- Dec 28, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22046.0304 | WY | |
| Family Nurse Practitioner | 363LF0000X | 14907 | MT | Primary |
Addresses
Primary practice location
915 4TH St NW
Choteau, MT 59422-9123
Mailing address
915 4TH St NW
Choteau, MT 59422-9123
Phone (406) 466-5763
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 456807 | Medicaid | MT | |
| 121007600 | Medicaid | WY | |
| 313564 | Other | WY | INDIVIDUAL BLUE CROSS NUM |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14907 | MT | MD | Family Nurse Practitioner |
| 22046.0304 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benefis Hospitals Inc | Current | Accepting new patients | |
| Clay Pot Counseling, Inc. | Past | Accepting new patients | |
| Urgent Care of Wyoming Inc. | Past | Accepting new patients | |
| Doctor's Care Inc | Past | Accepting new patients | |
| Frenchtown Family Practice | Past | Accepting new patients |
Locations
915 4th St NW
Choteau, MT 59422
Phone (406) 466-5763
1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690
1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132
25 14th Ave NW
Great Falls, MT 59404
Phone (406) 455-4777
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Benefis Medical Group
- Multi-Specialty Clinic/Center
- Great Falls, MT
- NPI 1780968974
-
dba Benefis Teton Medical Center
- Critical Access Hospital
- Choteau, MT
- NPI 1083602205
-
- Family Medicine Physician
- Frenchtown, MT
- NPI 1891741807
-
- Clinical Social Worker
- Crystal Lake, IL
- NPI 1164456315
-
- Primary Care Clinic/Center
- Johnson City, TN
- NPI 1720083918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514419200000",
"number": "1467475079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 4TH ST NW",
"city": "CHOTEAU",
"state": "MT",
"postal_code": "594229123",
"telephone_number": "406-466-5763",
"fax_number": "406-466-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 4TH ST NW",
"city": "CHOTEAU",
"state": "MT",
"postal_code": "594229123",
"telephone_number": "406-466-5763",
"fax_number": "406-466-5842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-KEIL",
"first_name": "TERESA",
"middle_name": "D",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2017-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "22046.0304",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "14907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "456807",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121007600",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BLUE CROSS NUM",
"identifier": "313564",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Choteau, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.