Active NPI
Kim Alexandre Powell, APRN
- Acute Care Nurse Practitioner
- Missoula, MT
National Provider Identifier
1497741490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN11624
- Practice address
- 2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419 - Phone
- (406) 728-6101
- Fax
- (406) 721-3278
- NPI assigned
- Sep 25, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN11624 | MT | Primary |
Addresses
Primary practice location
2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419
Mailing address
2831 Fort Missoula Rd
Suite 232
Missoula, MT 59804-7419
Phone (406) 728-6101
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN11624 | MT | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497741490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD",
"address_2": "SUITE 232",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047419",
"telephone_number": "406-728-6101",
"fax_number": "406-721-3278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2831 FORT MISSOULA RD",
"address_2": "SUITE 232",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047419",
"telephone_number": "406-728-6101",
"fax_number": "406-721-3278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KIM",
"middle_name": "ALEXANDRE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MT",
"license": "RN11624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.