Laura J Hillis, PA

Key facts

NPI

1720078710

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

364 (MT)

Practice address

805 Sunset Blvd
Conrad, MT 59425-1717

Phone

(406) 271-3211

Fax

(406) 271-3912

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720078710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "address_2": "P O BOX 758",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594250758",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SUNSET BLVD",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594251717",
            "telephone_number": "406-271-3211",
            "fax_number": "406-271-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIS",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conrad, MT

• Bethanie Nicole Funderburk, DPT
• Golden Triangle Compounding, LLC
• Patricia J Grena, DO
• Ilene Birnell Hawkinson, PA
• Michael M Hewett, PA
• Ashton S Hofstad, NP
• Courtney M Hoover, LMT
• In-Line Chiropractic Inc
• John E Taylor O.D.
• Heather Johns, FNP

All providers in Conrad, MT · Physician Assistant in Montana