Carol Kittrell Sisk, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11301 Issued in MT

Practice address

937 Highland Blvd Ste 5410
Bozeman, MT 59715-6916

Phone

(406) 414-2400

NPI assigned

Nov 3, 2011

Last updated

Jul 26, 2021By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: csisk7291296@direct.sanfordhealth.org

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1548547680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5410",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 HIGHLAND BLVD STE 5410",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156916",
            "telephone_number": "406-414-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISK",
        "first_name": "CAROL",
        "middle_name": "KITTRELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "11301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "csisk7291296@direct.sanfordhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "937 Highland Blvd Ste 5410",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597156916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joylene Beth Sims, MS
• Rachel Sindelar, RDN
• Jodie L. Sipes, LCSW
• Jill A Sippos, MPT
• Robert Sise, MD
• Margaret Kathleen Siska, MD
• Annie M Sites, LMT
• Charyl Crandall Skates, LCPC
• Courtney Nicole Skeahan, LCSW
• Jason Farrell Skenazy, M.D.

• Family Nurse Practitioner in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.