Individual provider Active NPI

Krista Ann Brayko, N.D.

  • Naturopath
  • Missoula, MT
National Provider Identifier
1992032130
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
124 Issued in MT
Practice address
3817 Stephens Ave
Suite 2
Missoula, MT 59801-8505
Phone
(406) 926-2290
Fax
(406) 258-0540
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 124 MT Primary

Addresses

Primary practice location

3817 Stephens Ave
Suite 2
Missoula, MT 59801-8505

Mailing address

3817 Stephens Ave
Ste. 2
Missoula, MT 59801-8505
Phone (406) 926-2290

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

State licenses

LicenseStateTypeSpecialty
124MTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kbrayko1206645@wm.providencedirect.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1992032130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 STEPHENS AVE",
            "address_2": "STE. 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018505",
            "telephone_number": "406-926-2290",
            "fax_number": "406-258-0540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 STEPHENS AVE",
            "address_2": "SUITE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018505",
            "telephone_number": "406-926-2290",
            "fax_number": "406-258-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAYKO",
        "first_name": "KRISTA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MT",
            "license": "124",
            "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 Dec 15, 2014; 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.