Angela Louise Wathan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2923 Issued in MT

Practice address

2593 US Highway 2 E
Kalispell, MT 59901-9507

Phone

(406) 890-2212

Fax

(406) 890-2234

NPI assigned

Dec 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Angie Louise Duffe Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Montana Spine and Neurodevelopment CenterGroup PAC ID 7911376157, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Montana Spine and Neurodevelopment Center

  • Chiropractor
  • Kalispell, MT
  • NPI 1861153280
  Medicare reassignment Care Compare group NPD Authorized official
• Two Sparrows Family Chiropractic & Wellness LLC

  • Chiropractor
  • Whitefish, MT
  • NPI 1427697416
  NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1487630620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 US HIGHWAY 2 E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599019507",
            "telephone_number": "406-890-2212",
            "fax_number": "406-890-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 US HIGHWAY 2 E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599019507",
            "telephone_number": "406-890-2212",
            "fax_number": "406-890-2234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013013",
            "country_code": "US",
            "telephone_number": "406-890-2212",
            "fax_number": "406-890-2234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATHAN",
        "first_name": "ANGELA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-20",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "2923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "DUFFE",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sunni Rae Warner, SWLC
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• Chelsea Marie Watercutter, M.S. CCC-SLP
• Laura Waterman, DPT
• Wathan Chiropractic LLC
• Jesse Paul Wathan, DC
• Jeffrey W. Watkins, M.D.
• Beth Benjamin Watne, PA-C
• Wayfinder Integrative Health & Physiatry
• Joy Weaks

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.