Active NPI
Katie Cook-Bretson
- Acupuncturist
- Bozeman, MT
National Provider Identifier
1649449299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- MED-ACU-LIC-58960
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MED-ACU-LIC-58960 | Other | MT | MONTANA STATE ACUPUNCTURE |
| 537979-07 | Other | NCBTMB | |
| 214 | Other | MT | MASSAGE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 214 | MT | MD | Clinical Psychologist |
| MED-ACU-LIC-58960 | MT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enso PLLC | Acupuncturist | Past | 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.
-
- Acupuncturist
- Bozeman, MT
- NPI 1669019568
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.