Individual provider Active NPI

Stephani Conner

  • Family Nurse Practitioner
  • Whitefish, MT
National Provider Identifier
1629697784
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
152571 Issued in MT
Practice address
604 Pine PL
Whitefish, MT 59937-2362
Phone
(406) 270-6638
NPI assigned
Apr 9, 2020
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 152571 MT Primary

Addresses

Primary practice location

604 Pine PL
Whitefish, MT 59937-2362

Mailing address

431 1St Ave W Ste 4
Kalispell, MT 59901-4959
Phone (406) 219-7874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152571MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Health - Whitefish CurrentSince Nov 4, 2021 Accepting new patients
Logan Health - Whitefish CurrentSince Nov 4, 2021 Accepting new patients
Integrated Wellness PLLC CurrentSince Feb 4, 2024 Accepting new patients
Logan Health - Whitefish Past Accepting new patients
Duerler, Inc. PastSince Aug 26, 2021 Accepting new patients

Locations

1675 Talbot Rd
Columbia Falls, MT 59912
Phone (406) 892-1411

304 Osloski Rd
Eureka, MT 59917
Phone (406) 297-2438

431 1st Ave W
Ste 4
Kalispell, MT 59901
Phone (406) 219-7874

Organizations & group practices 5

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": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1629697784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 1ST AVE W STE 4",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014959",
            "telephone_number": "406-219-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 PINE PL",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372362",
            "telephone_number": "406-270-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "STEPHANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "152571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

Verify at the official NPI Registry.