Headwaters Wellness PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HEADWATERS WELLNESS PLLC

Practice address

118 Main St
Kalispell, MT 59901-4452

Phone

(406) 219-1104

NPI assigned

Dec 27, 2021

Last updated

Nov 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany EppardNPI 1649627936

Title

Owner/Aprn

Phone

(406) 219-1104

Specialties & licenses 2

Addresses

Locations

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.

• Brittany Mae Mitchell Eppard, NP

  • Nurse Practitioner
  • Kalispell, MT
  • NPI 1649627936
  NPD Authorized official

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1811657216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014452",
            "telephone_number": "406-219-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014452",
            "telephone_number": "406-219-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADWATERS WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "EPPARD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "OWNER/APRN",
        "authorized_official_telephone_number": "406-219-1104"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Elaine Hayden, MSW
• Leslie Anne Hayden, PT
• Kristen Joy Haymond, DC
• Allen Revard Hazen
• Head and Heart
• Healing Concepts Inc
• Healing Hands Chiropractic and Wellness
• Healing Roots Counseling PLLC
• Healthcenter Northwest LLC
• Healthcenter Northwest LLC (Northwest Women's Health Care)

• Multi-Specialty Clinic/Center in Kalispell, MT
• Providers in Kalispell, 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 Nov 3, 2022; 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.