Mountain Kids Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MOUNTAIN KIDS PEDIATRICS

Practice address

2825 Fort Missoula Rd Ste 201
Missoula, MT 59804-7403

Phone

(406) 721-5566

NPI assigned

Mar 24, 2022

Last updated

Mar 24, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Hastings, DONPI 1003221474

Title

Owner

Phone

(406) 721-5566

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Charles Hastings, D.O.

  • Pediatrics Physician
  • Missoula, MT
  • NPI 1003221474
  NPD Authorized official
• Ryan Barrett, NP-C

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1205117785
  NPD (past)
• Kathryn Renee Eriksson, FNP-C

  • Family Nurse Practitioner
  • Missoula, MT
  • NPI 1437709060
  NPD (past)

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1982354908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-721-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 FORT MISSOULA RD STE 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047403",
            "telephone_number": "406-721-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN KIDS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-721-5566",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moua Ko Moua, LAC, SWLC
• Mountain Compounding
• Mountain Home Montana Inc
• Mountain Horizon Counseling
• Mountain Internal Medicine, PLLC
• Mountain Mobile Wound Care (Beighle and assoc PC)
• Mountain Sage Acupuncture PLLC
• Mountain States Precision Healthcare PLLC (Mountain States Precision Healthcare)
• Mountain Top Psychotherapy, PLLC
• Mountain View Family Medical & Obstetrics

• Pediatrics Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Pediatrics Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.