NPIMap

Organization Active NPI

Northwest Nutrition Consultation

  • Medical Specialty Clinic/Center
  • Kalispell, MT
National Provider Identifier
1629424643
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
516 Issued in MT
Legal business name
NORTHWEST NUTRITION CONSULTATION
Practice address
140 Cyclone Dr
Kalispell, MT 59901-7163
Phone
(406) 471-9998
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Ashley A Duty, RD
Title
Owner
Phone
(406) 471-9998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 516 MT Primary

Addresses

Primary practice location

140 Cyclone Dr
Kalispell, MT 59901-7163

Mailing address

140 Cyclone Dr
Kalispell, MT 59901-7163
Phone (406) 471-9998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1629424643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CYCLONE DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017163",
            "telephone_number": "406-471-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CYCLONE DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017163",
            "telephone_number": "406-471-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NUTRITION CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "DUTY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-471-9998",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MT",
            "license": "516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.