Active NPI
Ava Health LLC
- Family Nurse Practitioner
- Missoula, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 131528
- Legal business name
- AVA HEALTH LLC
- Practice address
- 2875 Tina Ave Ste 107
Missoula, MT 59808-1582 - Phone
- (406) 544-0628
- Fax
- (406) 302-0899
- NPI assigned
- Aug 16, 2018
- Last updated
- Sep 15, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Weaver Knowles, FNP
- Title
- Owner/FNP
- Phone
- (406) 544-0628
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 131528 | MT | Primary |
Addresses
Primary practice location
2875 Tina Ave Ste 107
Missoula, MT 59808-1582
Mailing address
2875 Tina Ave Ste 107
Missoula, MT 59808-1582
Phone (406) 544-0628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205313590 | Other | MT | INDIVIDUAL NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2230364 | Ava Health LLC | Certificate of waiver | Jul 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
1001 E Broadway St
#2
Missoula, MT 59802
2825 Fort Missoula Rd
Ste 113
Missoula, MT 59804
Phone (406) 542-2116
2875 Tina Ave
Ste 102A
Missoula, MT 59808
2875 Tina Ave
Ste 107
Missoula, MT 59808
Phone (406) 544-0628
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Missoula, MT
- NPI 1205313590
-
- Obstetrics & Gynecology Nurse Practitioner
- Missoula, MT
- NPI 1578087201
-
- Family Nurse Practitioner
- Missoula, MT
- NPI 1134142771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663200000000",
"number": "1548740822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2875 TINA AVE STE 107",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081582",
"telephone_number": "406-544-0628",
"fax_number": "406-302-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 TINA AVE STE 107",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081582",
"telephone_number": "406-544-0628",
"fax_number": "406-302-0899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVA HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-16",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A",
"authorized_official_last_name": "WEAVER KNOWLES",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER/FNP",
"authorized_official_telephone_number": "406-544-0628",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "131528",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1205313590",
"state": "MT"
}
],
"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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.