Individual provider Active NPI

Donna K Jennings, A.P.R.N.

  • Psychiatric/Mental Health Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1578867016
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8886 Issued in MT
Practice address
1120 Cedar St
Missoula, MT 59802
Phone
(406) 543-1929
NPI assigned
Dec 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 8886 MT
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 8886 MT
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 8886 MT
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X 8886 MT
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist 364SP0811X 8886 MT
Community Psychiatric/Mental Health Clinical Nurse Specialist 364SP0812X 8886 MT
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 8886 MT
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 8886 MT Primary

Addresses

Primary practice location

1120 Cedar St
Missoula, MT 59802

Mailing address

1120 Cedar St
Missoula, MT 59802-3911
Phone (406) 543-1929

Other practice location 1

1120 Cedar St
Missoula, MT 59802
Phone (406) 543-1929 ext. 1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000458 MT Practitioner - Nurse Practitioner 3375713712 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8886MTMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
HKJ Inc CurrentSince Oct 1, 2007 Accepting new patients
HKJ Inc Multi-Specialty CurrentSince May 22, 2019 Accepting new patients
Aleph, PC Psychiatric/Mental Health Past Accepting new patients

Locations

3000 Palmer St
Missoula, MT 59808
Phone (406) 541-4673

1120 Cedar St
Missoula, MT 59802
Phone (406) 541-4673

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1293148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1578867016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598023911",
            "telephone_number": "406-543-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CEDAR ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59802",
            "telephone_number": "406-543-1929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59802",
            "country_code": "US",
            "telephone_number": "406-543-1929 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "DONNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-24",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MT",
            "license": "8886",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "8886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.