Individual provider Active NPI

Kari Diane Bradley, PEER SPECIALIST

  • Peer Specialist
  • Kalispell, MT
National Provider Identifier
1891595385
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
BBH-BHPS-CRT-78816 Issued in MT
Practice address
2282 US Highway 93 S
Kalispell, MT 59901-8499
Phone
(406) 890-2570
Fax
(406) 203-9949
NPI assigned
Mar 14, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X BBH-BHPS-CRT-78816 MT Primary

Addresses

Primary practice location

2282 US Highway 93 S
Kalispell, MT 59901-8499

Mailing address

2282 US Highway 93 S
Kalispell, MT 59901-8499
Phone (406) 890-2570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BBH-BHPS-CRT-78816MTMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1891595385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 US HIGHWAY 93 S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018499",
            "telephone_number": "406-890-2570",
            "fax_number": "406-203-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2282 US HIGHWAY 93 S",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599018499",
            "telephone_number": "406-890-2570",
            "fax_number": "406-203-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KARI",
        "middle_name": "DIANE",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MT",
            "license": "BBH-BHPS-CRT-78816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.