NPIMap

Individual provider Active NPI

Laurel Hardy Kittrell, MD

  • Internal Medicine Physician
  • Helena, MT
National Provider Identifier
1922536549
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
104590 Issued in MT
Practice address
2475 E Broadway St
Helena, MT 59601-4928
Phone
(406) 457-4180
NPI assigned
May 26, 2017
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R76311 AZ
Internal Medicine Physician 207R00000X 104590 MT Primary

Addresses

Primary practice location

2475 E Broadway St
Helena, MT 59601-4928

Mailing address

PO Box 6369
Helena, MT 59604-6369
Phone (064) 447-2823

Other practice location 1

5350 E Erickson Dr
Tucson, AZ 85712-2822
Phone (520) 733-2250

Other practice location 2

5350 E Erickson Dr
Tucson, AZ 85712-2822
Phone (520) 733-2250

Other practice location 3

4351 E Lohman Ave Ste 300
Las Cruces, NM 88011
Phone (575) 556-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220912002440 MT Practitioner - HospitalistPractitioner - Internal Medicine 6103181383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Arizona College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters HealthGroup PAC ID 7911814926, 206 clinicians

Practice addresses (Care Compare)

2475 E Broadway St
Helena, MT 59601-4928
Phone (406) 447-2828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R76311AZMDInternal Medicine Physician
104590MTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health CurrentSince Aug 29, 2022 Accepting new patients
St Peter's Health Current Accepting new patients
St Peter's Medical Group North CurrentSince Aug 29, 2022 Accepting new patients
Quality of Life Medical Centers, LLC CurrentSince Oct 7, 2018 Accepting new patients
St. Peter's Health Past Accepting new patients

Locations

5350 E Erickson Dr
Tucson, AZ 85712
Phone (520) 624-8935

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1922536549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6369",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596046369",
            "telephone_number": "064-447-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 E BROADWAY ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014928",
            "telephone_number": "406-457-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 E Erickson Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122822",
            "country_code": "US",
            "telephone_number": "520-733-2250",
            "fax_number": "520-733-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5350 E Erickson Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122822",
            "country_code": "US",
            "telephone_number": "520-733-2250",
            "fax_number": "520-733-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 E Lohman Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "88011",
            "country_code": "US",
            "telephone_number": "575-556-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "LAUREL",
        "middle_name": "HARDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R76311",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "104590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.