Individual provider Active NPI

Shyann Kay Kriedeman

  • Peer Specialist
  • Great Falls, MT
National Provider Identifier
1902544992
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
BBH-BHPS-CRT-55649
Practice address
1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619
Phone
(406) 866-0350
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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-55649 Primary

Addresses

Primary practice location

1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619

Mailing address

1500 10TH Ave S Ste 200
Great Falls, MT 59405-2619
Phone (406) 866-0350

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

Practice roles

OrganizationSpecialtyStatusNew patients
Green Apple Counseling, LLC CurrentSince May 22, 2022 Accepting new patients

Locations

1500 10th Ave S
Ste 200
Great Falls, MT 59405
Phone (406) 781-9919

Organizations & group practices 1

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": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1902544992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-866-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 10TH AVE S STE 200",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052619",
            "telephone_number": "406-866-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEDEMAN",
        "first_name": "SHYANN",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": "BBH-BHPS-CRT-55649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.