Active NPI
Kristin Ann Yandora, D.O.
- Neurology Physician
- Kalispell, MT
National Provider Identifier
1497922413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MT11696
- Practice address
- 200 Commons Way Ste C
Kalispell, MT 59901-1915 - Phone
- (406) 752-5095
- Fax
- (406) 752-5058
- NPI assigned
- May 8, 2008
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | OS013927 | PA | |
| Neurology Physician | 2084N0400X | MT11696 | MT | Primary |
Addresses
Primary practice location
200 Commons Way Ste C
Kalispell, MT 59901-1915
Mailing address
200 Commons Way Ste C
Kalispell, MT 59901-1915
Phone (406) 752-5095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT11696 | Other | MT | STATE LICENSE |
| OS013927 | Other | PA | STATE LICENSE |
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
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT11696 | MT | MD | Neurology Physician |
| OS013927 | PA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1497922413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 COMMONS WAY STE C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011915",
"telephone_number": "406-752-5095",
"fax_number": "406-752-5058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 COMMONS WAY STE C",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011915",
"telephone_number": "406-752-5095",
"fax_number": "406-752-5058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YANDORA",
"first_name": "KRISTIN",
"middle_name": "ANN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "OS013927",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MT",
"license": "MT11696",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "MT11696",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "OS013927",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.