Individual provider Active NPI

Tiffany Kniepkamp, M.D.

  • Emergency Medicine Physician
  • Helena, MT
National Provider Identifier
1679837819
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
36937 Issued in MT
Practice address
2475 E Broadway St
Lewis & Clark Emergency Physicians, PC
Helena, MT 59601-4928
Phone
(406) 444-2150
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 125-061504 IL
Emergency Medicine Physician 207P00000X 36937 MT Primary

Addresses

Primary practice location

2475 E Broadway St
Lewis & Clark Emergency Physicians, PC
Helena, MT 59601-4928

Mailing address

4947 Smallwood Court
Helena, MT 59601

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810002642 MT Practitioner - Emergency Medicine 2769797489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians
Lewis and Clark Emergency Physicians P CGroup PAC ID 0941196497, 8 clinicians

Practice addresses (Care Compare)

2475 Broadway
Helena, MT 59601-4928

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 442-2480

3330 Ptarmigan LN
Helena, MT 59602-0521
Phone (406) 457-4180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-061504ILMDEmergency Medicine Physician
36937MTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health CurrentSince Apr 14, 2018 Accepting new patients
St Peter'S Health Current Accepting new patients
St Peter'S Medical Group North CurrentSince Apr 14, 2018 Accepting new patients
Lewis and Clark Emergency Physicians P C Emergency Medicine CurrentSince Jun 27, 2015 Accepting new patients

Locations

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1679837819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4947 SMALLWOOD COURT",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "address_2": "LEWIS & CLARK EMERGENCY PHYSICIANS, PC",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-444-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIEPKAMP",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "125-061504",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "36937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.