Active NPI
Cornelia Simunic, N.P.
- Nurse Practitioner
- Cut Bank, MT
National Provider Identifier
1801901582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18946
- Practice address
- 519 E Main St
Cut Bank, MT 59427-3015 - Phone
- (406) 873-5670
- Fax
- (406) 873-5675
- NPI assigned
- Aug 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18946 | MT | Primary |
Addresses
Primary practice location
519 E Main St
Cut Bank, MT 59427-3015
Mailing address
519 E Main St
Cut Bank, MT 59427-3015
Phone (406) 873-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4307329 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18946 | MT | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801901582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 E MAIN ST",
"city": "CUT BANK",
"state": "MT",
"postal_code": "594273015",
"telephone_number": "406-873-5670",
"fax_number": "406-873-5675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 E MAIN ST",
"city": "CUT BANK",
"state": "MT",
"postal_code": "594273015",
"telephone_number": "406-873-5670",
"fax_number": "406-873-5675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMUNIC",
"first_name": "CORNELIA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MT",
"license": "18946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4307329",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cut Bank, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.