Kerry Thomas Nickou, RNC, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN 19752 Issued in MT

Practice address

760 Peigan Street
Browning, MT 59417

Phone

(406) 338-6366

Fax

(406) 338-6379

NPI assigned

Dec 14, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• US Health Dept of Health & Human Services

  • Rural Health Clinic/Center
  • Poplar, MT
  • NPI 1972694602
  NPD
• U S Health Dept of Health & Human Services

  dba Heart Butte Clinic

  • Clinic/Center
  • Heart Butte, MT
  • NPI 1598867848
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811059249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HEART BUTTE CUT OFF",
            "address_2": "P.O. BOX 209",
            "city": "EAST GLACIER PARK",
            "state": "MT",
            "postal_code": "59434",
            "telephone_number": "406-226-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 PEIGAN STREET",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "59417",
            "telephone_number": "406-338-6366",
            "fax_number": "406-338-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKOU",
        "first_name": "KERRY",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RNC, FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "RN 19752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlie Monroe
• Montana Vamc
• Carmie Jasette Nelson
• Chrystal R. New-Robe
• Deborah S Nickou
• Northern Winds Recovery Center
• Robert James Obeid, MD
• Richard Odegaard, MD
• Xavier Oldchief
• Melissa Kay Pakas, ACLC

• Nurse Practitioner in Browning, MT
• Providers in Browning, MT by specialty
• Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.