East Slope Family Practice PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

1670537 Issued in MT

Legal business name

EAST SLOPE FAMILY PRACTICE PLLC

Practice address

900 6TH St SW Ste 2
Great Falls, MT 59404-3207

Phone

(406) 781-3323

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Jeremiah L Watt, FNPNPI 1336572205

Title

Business Owner

Phone

(406) 781-3323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Watt, FNP

  • Nurse Practitioner
  • Great Falls, MT
  • NPI 1336572205
  Medicare reassignment Care Compare group NPD Authorized official
• Kayla J Boltz, FNP

  • Primary Care Nurse Practitioner
  • Great Falls, MT
  • NPI 1407672512
  Medicare reassignment Care Compare group NPD
• Amanda Marie Engman, FNP

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1912568692
  Medicare reassignment NPD
• Raymone Jeanine Annau, FNP APRN

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1932262599
  NPD
• Sharon Kiely Howard, APRN CNS BC

  • Community Health/Public Health Clinical Nurse Specialist
  • Great Falls, MT
  • NPI 1568630994
  NPD
• Kate Lynn Antonich, NP

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1811145378
  NPD (past)
• Anna Christine Grotbo, APRN, FNP

  • Family Nurse Practitioner
  • Great Falls, MT
  • NPI 1235234915
  NPD (past)

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1801273636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 6TH ST SW",
            "address_2": "SUITE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043207",
            "telephone_number": "406-727-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 6TH ST SW STE 2",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043207",
            "telephone_number": "406-781-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SLOPE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "WATT",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "406-781-3323",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MT",
            "license": "1670537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Multi-Specialty Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.