Individual provider Active NPI

Amber Licht

  • Family Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1558175588
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NUR-APRN-LIC-259422 Issued in MT
Practice address
211 9TH St S
Great Falls, MT 59405-2115
Phone
(406) 454-3431
NPI assigned
Jan 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-259422 MT Primary

Addresses

Primary practice location

211 9TH St S
Great Falls, MT 59405-2115

Mailing address

143 Sun Prairie Rd
Great Falls, MT 59404-6234
Phone (406) 750-8388

Other identifiers 1

IdentifierTypeStateIssuer
200032014MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250611000580 MT Practitioner - Nurse Practitioner 9931619657 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-259422MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood Inc Family CurrentSince May 6, 2025 Accepting new patients
Intermountain Planned Parenthood CurrentSince May 6, 2025 Accepting new patients
Rich Psychiatry & Wellness PLLC PastSince Sep 20, 2021 Accepting new patients

Locations

1643 Lewis Ave
Ste 211
Billings, MT 59102

211 9th St S
Great Falls, MT 59405
Phone (406) 454-3431

1500 Cannon St
Helena, MT 59601
Phone (406) 248-3637

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1738281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1558175588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SUN PRAIRIE RD",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046234",
            "telephone_number": "406-750-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052115",
            "telephone_number": "406-454-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHT",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-31",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-259422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032014",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.