Kate Lynn Antonich, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

22975 Issued in MT

Practice address

601 1St Ave N
Great Falls, MT 59401-2510

Phone

(406) 454-6973

Fax

(406) 791-9277

NPI assigned

Sep 8, 2008

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Central Montana Laboratory, LLC

  • Clinical Medical Laboratory
  • Great Falls, MT
  • NPI 1164519377
  NPD (past)
• Comprehensive Medical Rehabilitation Services, PC

  • Physical Medicine & Rehabilitation Physician
  • Great Falls, MT
  • NPI 1174711360
  NPD (past)
• East Slope Family Practice PLLC

  • Multi-Specialty Clinic/Center
  • Great Falls, MT
  • NPI 1801273636
  NPD (past)
• Family Health Clinic LLC

  • Primary Care Clinic/Center
  • Great Falls, MT
  • NPI 1871789362
  NPD (past)

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1811145378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012510",
            "telephone_number": "406-454-6973",
            "fax_number": "406-791-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONICH",
        "first_name": "KATE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "22975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurel Ann Andrechak, FNP, PSYCH NP
• Shelley Louise Andrus, APRN
• Anesthesia Associates of Great Falls LLC
• Ann M Doll Midwifery Services PLLC
• Raymone Jeanine Annau, FNP APRN
• Porntawee Aphivantrakul
• Apothecary Convenience Pharmacy, Inc. (Apothecary Drug Store)
• Shawna Renee Applegate, APRN
• Brenda Rose Archambault
• Cynthia Ann Armstrong, BSN, RN, CHC

• Family Nurse Practitioner in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Family Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.