Active NPI
Montana Therapy
- Psychiatric/Mental Health Nurse Practitioner
- Fort Benton, MT
National Provider Identifier
1578891289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20513RN
- Legal business name
- MONTANA THERAPY
- Practice address
- 2111 Washington St
Fort Benton, MT 59442 - Phone
- (406) 622-5955
- Fax
- (406) 622-5477
- NPI assigned
- Nov 19, 2009
- 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
- Prof. Laurel A Andrechak, FNP
- Title
- Family Nurse Practitioner
- Phone
- (406) 622-5955
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20513RN | MT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20513RN | MT | Primary |
Addresses
Primary practice location
2111 Washington St
Fort Benton, MT 59442
Mailing address
2111 Washington
PO Box 806
Fort Benton, MT 59442
Phone (406) 622-5955
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258588800000",
"number": "1578891289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 WASHINGTON",
"address_2": "PO BOX 806",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "59442",
"telephone_number": "406-622-5955",
"fax_number": "406-622-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 WASHINGTON ST",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "59442",
"telephone_number": "406-622-5955",
"fax_number": "406-622-5477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTANA THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-19",
"last_updated": "2009-11-19",
"status": "A",
"authorized_official_last_name": "ANDRECHAK",
"authorized_official_first_name": "LAUREL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "406-622-5955",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "20513RN",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MT",
"license": "20513RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.