Active NPI
Charlotte Catherine Creekmore, NP
- Midwife
- Missoula, MT
National Provider Identifier
1982842399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LICENSENO37
- Practice address
- 422 W Spruce St
Missoula, MT 59802-4127 - Phone
- (406) 219-8639
- NPI assigned
- Jan 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 153063 | MT | |
| Midwife | 176B00000X | LICENSENO37 | MT | Primary |
Addresses
Primary practice location
422 W Spruce St
Missoula, MT 59802-4127
Mailing address
422 W Spruce St
Missoula, MT 59802-4127
Phone (406) 546-6452
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICENSENO37 | MT | MD | Midwife |
| 153063 | MT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1982842399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024127",
"telephone_number": "406-546-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 W SPRUCE ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024127",
"telephone_number": "406-219-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREEKMORE",
"first_name": "CHARLOTTE",
"middle_name": "CATHERINE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-23",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MT",
"license": "153063",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MT",
"license": "LICENSENO37",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.