Active NPI
Jennifer R. Boulden, RN
- Registered Nurse
- Kalispell, MT
National Provider Identifier
1932225232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 32172
- Practice address
- 410 Windward Way
Kalispell, MT 59901-2680 - Phone
- (406) 257-1336
- Fax
- (406) 257-1353
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 32172 | MT | Primary |
Addresses
Primary practice location
410 Windward Way
Kalispell, MT 59901-2680
Mailing address
T-9 Fort Missoula
Missoula, MT 59804-7202
Phone (406) 532-8400
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32172 | MT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Montana Mental Health Center | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Missoula, MT
- NPI 1912079328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932225232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "T-9 FORT MISSOULA",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047202",
"telephone_number": "406-532-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 WINDWARD WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599012680",
"telephone_number": "406-257-1336",
"fax_number": "406-257-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULDEN",
"first_name": "JENNIFER",
"middle_name": "R.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MT",
"license": "32172",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.