Kim Squires, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11030 Issued in MT

Practice address

205 Bedford St
Suite L
Hamilton, MT 59840-2853

Phone

(406) 375-6671

Fax

(406) 375-6680

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962521799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350005",
            "city": "GRANTSDALE",
            "state": "MT",
            "postal_code": "598350005",
            "telephone_number": "406-375-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BEDFORD ST",
            "address_2": "SUITE L",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402853",
            "telephone_number": "406-375-6671",
            "fax_number": "406-375-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "KIM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "11030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3500952",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimber Lee Smith, LCPC
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• Shannon S. Smith, LCSW
• Christy Snavely
• Amanda K Springer, MA, LCPC
• Stacking Stones Counseling, LLC
• Taylor Nicole Stafford
• Rebekah Jean Stamp, MSPT
• Starck Counseling, LLC
• Adrianna Claire Starck, MS, NCC, LCPC

• Family Nurse Practitioner in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Family Nurse Practitioner in Montana

• 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.

Verify at the official NPI Registry.