Kismet LWT, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10147 Issued in MT

Legal business name

KISMET LWT, LLC

Practice address

402 Summit Ave
Lewistown, MT 59457

Phone

(406) 538-8775

Fax

(406) 538-8773

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Michael Moore

Title

Cfo

Phone

(605) 642-7736

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Valle Vista Manor Doing business as

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1740275288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "594573247",
            "telephone_number": "406-538-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SUMMIT AVE",
            "city": "LEWISTOWN",
            "state": "MT",
            "postal_code": "59457",
            "telephone_number": "406-538-8775",
            "fax_number": "406-538-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISMET LWT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "605-642-7736"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MT",
            "license": "10147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312260",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valle Vista Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eli Karinen
• Lesly Marie Kassmier, LCPC
• Karen Kaufman, DNP
• Jesse Vidic Kinsey, RN
• Julie A Kirsch
• Amanda J. Klaus, M.S., CCC-SLP
• James R Kolstad, DDS
• Kraig (NMN) Kruger
• William Henry Kuhlmann, D.D.S., M.S.D.
• Andrew Stephen Lalum

• Skilled Nursing Facility in Lewistown, MT
• Providers in Lewistown, MT by specialty
• Skilled Nursing Facility in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.