Individual provider Active NPI

Samantha Kinnison, BSRC, RRT-NPS

  • Geriatric Care Registered Respiratory Therapist
  • Butte, MT
National Provider Identifier
1508625799
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Care Registered Respiratory TherapistTaxonomy code 2279G0305X
License
RCP-RCP-LIC-10946 Issued in MT
Practice address
2400 Continental Dr
Butte, MT 59701-6563
Phone
(361) 756-1906
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Care Registered Respiratory Therapist 2279G0305X RCP-RCP-LIC-10946 MT Primary

Addresses

Primary practice location

2400 Continental Dr
Butte, MT 59701-6563

Mailing address

2400 Continental Dr
Butte, MT 59701-6563
Phone (361) 756-1906

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RCP-RCP-LIC-10946MTMDGeriatric Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1508625799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "361-756-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CONTINENTAL DR",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597016563",
            "telephone_number": "361-756-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISON",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "credential": "BSRC, RRT-NPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "MT",
            "license": "RCP-RCP-LIC-10946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.