Organization Active NPI

Montana Therapy

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Benton, MT
National Provider Identifier
1578891289
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20513RN Issued in MT
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

Updated by the provider on Nov 19, 2009

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 20513RN MT
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.