Individual provider Active NPI

Katie Cook-Bretson

  • Acupuncturist
  • Bozeman, MT
National Provider Identifier
1649449299
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
MED-ACU-LIC-58960 Issued in MT
Practice address
421 W Mendenhall St
Bozeman, MT 59715-3448
Phone
(406) 600-4041
NPI assigned
Feb 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 214 MT
Acupuncturist 171100000X MED-ACU-LIC-58960 MT Primary

Addresses

Primary practice location

421 W Mendenhall St
Bozeman, MT 59715-3448

Mailing address

PO Box 2021
Bozeman, MT 59771-2021
Phone (406) 600-4041

Other practice location 1

905 Highland Blvd
Ste 4420
Bozeman, MT 59715-6901
Phone (406) 556-5140

Other identifiers 3

IdentifierTypeStateIssuer
MED-ACU-LIC-58960OtherMTMONTANA STATE ACUPUNCTURE
537979-07OtherNCBTMB
214OtherMTMASSAGE THERAPIST

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
214MTMDClinical Psychologist
MED-ACU-LIC-58960MTMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Enso PLLC Acupuncturist PastSince Dec 15, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649449299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2021",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597712021",
            "telephone_number": "406-600-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W MENDENHALL ST",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153448",
            "telephone_number": "406-600-4041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Highland Blvd",
            "address_2": "STE 4420",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156901",
            "country_code": "US",
            "telephone_number": "406-556-5140",
            "fax_number": "406-556-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK-BRETSON",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "214",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MT",
            "license": "MED-ACU-LIC-58960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE ACUPUNCTURE",
            "identifier": "MED-ACU-LIC-58960",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "537979-07",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "214",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.