Active NPI
Kathleen M Yapuncich, M.D.
- Pediatrics Physician
- Billings, MT
National Provider Identifier
1528030400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 68875
- Practice address
- 3401 Avenue E
Billings, MT 59102 - Phone
- (406) 281-8700
- Fax
- (406) 281-8708
- NPI assigned
- Feb 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6398A | WY | |
| Pediatrics Physician | 208000000X | 40846 | MN | |
| Pediatrics Physician | 208000000X | 68875 | MT | Primary |
Addresses
Primary practice location
3401 Avenue E
Billings, MT 59102
Mailing address
3401 Avenue E
Billings, MT 59102-6561
Phone (406) 281-8700
Other practice location 1
162 Kruse Creek Rd
Sheridan, WY 82801-9568
Phone (307) 673-0303
Other practice location 2
3401 Avenue E
Billings, MT 59102
Phone (406) 281-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 959216400 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180524002817 | WY | Order and Referring Only - Pediatric Medicine | 9335030493 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40846 | MN | MD | Pediatrics Physician |
| 68875 | MT | MD | Pediatrics Physician |
| 6398A | WY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Colorado | Current | Accepting new patients | |
| SCL Health Montana | Past | Accepting new patients | |
| The Childrens Clinic of Billings, PC | Pediatrics | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Interoperability endpoints
- kyapuncich55163@direct.childrenscolorado.org
Organizations & group practices 4
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- Pediatrics Physician
- Billings, MT
- NPI 1295837250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537833600000",
"number": "1528030400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 AVENUE E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591026561",
"telephone_number": "406-281-8700",
"fax_number": "406-281-8708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 AVENUE E",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59102",
"telephone_number": "406-281-8700",
"fax_number": "406-281-8708"
}
],
"practiceLocations": [
{
"address_1": "162 Kruse Creek Rd",
"address_purpose": "LOCATION",
"city": "Sheridan",
"state": "WY",
"postal_code": "828019568",
"country_code": "US",
"telephone_number": "307-673-0303",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3401 Avenue E",
"address_purpose": "LOCATION",
"city": "Billings",
"state": "MT",
"postal_code": "59102",
"country_code": "US",
"telephone_number": "406-281-8700",
"fax_number": "406-281-8708",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAPUNCICH",
"first_name": "KATHLEEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2018-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WY",
"license": "6398A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "40846",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MT",
"license": "68875",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "959216400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.