Active NPI
Christopher Nussman, LCSW
- Clinical Social Worker
- Kalispell, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- BBH-LCSW-LIC-70504
- Practice address
- 644 4TH Ave W
Kalispell, MT 59901-5206 - Phone
- (406) 756-3950
- Fax
- (406) 756-3957
- NPI assigned
- Mar 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | BBH-LCSW-LIC-70504 | MT | Primary |
Addresses
Primary practice location
644 4TH Ave W
Kalispell, MT 59901-5206
Mailing address
730 3Rd Ave E
Columbia Falls, MT 59912-3511
Phone (910) 777-8012
Other names 1
- Chris Nussman
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | krmcmedicalrecords@krhdirect.org | Direct | Kalispell Regional Medical Center, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-LCSW-LIC-70504 | MT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center Inc | Current | Accepting new patients | |
| Kalispell Regional Medical Center, Inc | Current | Accepting new patients |
Locations
350 Heritage Way
Ste 2100
Kalispell, MT 59901
Phone (406) 257-8992
310 Sunnyview Ln
Kalispell, MT 59901
Phone (406) 751-5310
Interoperability endpoints
- krmcmedicalrecords@krhdirect.org
Organizations & group practices 4
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.
-
dba Logan Health Medical Center
- General Acute Care Hospital
- Kalispell, MT
- NPI 1417945627
-
dba Logan Health Breast Center
- Clinic/Center
- Kalispell, MT
- NPI 1235333139
-
dba Northwest Family Medicine
- Clinic/Center
- Kalispell, MT
- NPI 1891096590
-
dba Logan Health Imaging- 1111 Baker
- Radiology Clinic/Center
- Whitefish, MT
- NPI 1073362463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1649021403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 3RD AVE E",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599123511",
"telephone_number": "910-777-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 4TH AVE W",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015206",
"telephone_number": "406-756-3950",
"fax_number": "406-756-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSMAN",
"first_name": "CHRISTOPHER",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-29",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MT",
"license": "BBH-LCSW-LIC-70504",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "krmcmedicalrecords@krhdirect.org",
"affiliation": "Y",
"affiliationName": "Kalispell Regional Medical Center, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "644 4th Ave W",
"city": "Kalispell",
"state": "MT",
"country_code": "US",
"postal_code": "599015206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRIS",
"last_name": "NUSSMAN",
"code": "5",
"type": "Other Name"
}
]
}
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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.