Individual provider Active NPI

Carlyn Doyle, P.N.P.

  • Pediatric Nurse Practitioner
  • Missoula, MT
National Provider Identifier
1821353939
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NUR-RN-LIC-47073 Issued in MT
Practice address
2835 Fort Missoula Rd Ste 203
Missoula, MT 59804
Phone
(406) 327-4730
NPI assigned
Jul 5, 2012
Last updated
Feb 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NUR-RN-LIC-47073 MT Primary

Addresses

Primary practice location

2835 Fort Missoula Rd Ste 203
Missoula, MT 59804

Mailing address

2835 Fort Missoula Rd Ste 203
Missoula, MT 59804-7424

Other practice location 1

2835 Fort Missoula Rd Ste 200
Missoula, MT 59804-7424
Phone (406) 721-5600

Other practice location 2

2835 Fort Missoula Rd Ste 203
Missoula, MT 59804
Phone (406) 327-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160222001264 MT Practitioner - Nurse Practitioner 1658676168 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-47073MTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP Billings - Missoula LLC Current Accepting new patients
Tigris Nephrology PLLC PastSince Jan 31, 2021 Accepting new patients
Community Medical Center Inc Past Accepting new patients

Locations

2827 Fort Missoula Rd
Missoula, MT 59804
Phone (406) 327-4202

2827 Fort Missoula Rd
Ste 203
Missoula, MT 59804
Phone (406) 327-4430

Interoperability endpoints

  • Direct secure messaging: cdoyle@direct.communitymed.org
  • FHIR API: https://api.platform.athenahealth.com/23552/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1821353939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 FORT MISSOULA RD STE 203",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59804",
            "telephone_number": "406-327-4730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Fort Missoula Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598047424",
            "country_code": "US",
            "telephone_number": "406-721-5600",
            "fax_number": "406-329-7122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2835 Fort Missoula Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "59804",
            "country_code": "US",
            "telephone_number": "406-327-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "CARLYN",
        "credential": "P.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MT",
            "license": "NUR-RN-LIC-47073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.