Active NPI
Aevum Functional Medicine & Longevity
- Clinic/Center
- Billings, MT
National Provider Identifier
1760396519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AEVUM FUNCTIONAL MEDICINE & LONGEVITY
- Practice address
- 2047 Broadwater Ave Ste 3
Billings, MT 59102-4856 - Phone
- (406) 617-6120
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taylor Hatcher Gregory, AGAC-NP
- Title
- Owner, Nurse Practitioner
- Phone
- (406) 617-6120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
2047 Broadwater Ave Ste 3
Billings, MT 59102-4856
Mailing address
2047 Broadwater Ave Ste 3
Billings, MT 59102-4856
Phone (406) 617-6120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Billings, MT
- NPI 1871132712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1760396519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 BROADWATER AVE STE 3",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024856",
"telephone_number": "406-617-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 BROADWATER AVE STE 3",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024856",
"telephone_number": "406-617-6120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AEVUM FUNCTIONAL MEDICINE & LONGEVITY",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "TAYLOR",
"authorized_official_middle_name": "HATCHER",
"authorized_official_title_or_position": "OWNER, NURSE PRACTITIONER",
"authorized_official_telephone_number": "406-617-6120",
"authorized_official_credential": "AGAC-NP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.