Individual provider Active NPI

Laura Judtih Weiss, APRN

  • Women's Health Nurse Practitioner
  • Great Falls, MT
National Provider Identifier
1831274844
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN20908 Issued in MT
Practice address
211 9TH St South
Great Falls, MT 59405
Phone
(406) 454-3432
Fax
(406) 454-3433
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN20908 MT Primary

Addresses

Primary practice location

211 9TH St South
Great Falls, MT 59405

Mailing address

2525 4TH Avenue North
Suite 201
Billings, MT 59101
Phone (406) 248-3637

Other identifiers 2

IdentifierTypeStateIssuer
37431OtherBCBS COMMERCIAL
433823MedicaidMT

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
I20050217000912 MT Practitioner - Nurse Practitioner 0143272146 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN20908MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Planned Parenthood CurrentSince Jun 15, 2021 Accepting new patients
Intermountain Planned Parenthood Past Accepting new patients

Locations

1116 Grand Ave
Ste 201
Billings, MT 59102

211 9th St S
Great Falls, MT 59405
Phone (406) 454-3431

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831274844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 4TH AVENUE NORTH",
            "address_2": "SUITE 201",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "59101",
            "telephone_number": "406-248-3637",
            "fax_number": "406-254-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 9TH ST SOUTH",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-454-3432",
            "fax_number": "406-454-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAURA",
        "middle_name": "JUDTIH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "RN20908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS COMMERCIAL",
            "identifier": "37431",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433823",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.