MRS. KIMBERLY ELLINGSON KOTUR (NPI# 1114093077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114093077 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY ELLINGSON KOTUR |
| Credential | APRN-BC FNP |
| Practice Address |
South 7th Ave Swingle Student Health Service Bozeman MT 59717-3260 |
| Mailing Address |
Po Box 173260 Swingle Student Health Service South 7th Ave Bozeman MT 59717-3260 |
| Practice Telephone | 4069942311 |
| Practice Fax Number | 4069942504 |
| Mailing Telephone | 4069942311 |
| Mailing Fax Number | 4069942504 |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN10809 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
SOUTH 7TH AVE SWINGLE STUDENT HEALTH SERVICE |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59717-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114543386 | Cheyenne Jae Feltz | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherlock Hall, Bozeman, MT 59717 | 2020-06-23 |
| 1295351542 | Donna Sanders | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hall, Bozeman, MT 59717 | 2020-06-23 |
| 1174932479 | Alyssa Asay | Specialist/Technologist | 118 Bobcat Circle, Bozeman, MT 59717 | 2014-08-12 |
| 1851549794 | Chelsey Sheila Schumaker | Dietitian, Registered | University Health Partners, 100 Swingle Building, 7th St and Grant St, Bozeman, MT 59717 | 2008-09-04 |
| 1699896332 | Arnold Shapiro | Family Medicine | Swingle Student Health Service South 7th Ave., Msu, Bozeman, MT 59717 | 2007-04-02 |
| 1962597757 | Hannah Smith | Physician Assistant | 100 Swingle Building, Msu Bozeman, Bozeman, MT 59717 | 2006-10-04 |
| 1386262046 | Shannon St. Onge Scally | Student in an Organized Health Care Education/Training Program | Montana State University College of Nursing, Anna Pearl, Sherrick Hall, Bozeman, MT 59717 | 2020-07-09 |
| 1114544517 | Sara Elyse Stromberg | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hall, Bozeman, MT 59717 | 2020-07-01 |
| 1720604929 | Bowen Austin Stephen Trystianson | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hall, Bozeman, MT 59717 | 2020-06-23 |
| 1881257699 | Keyton R Gines | Specialist/Technologist | 1 Bobcat Circle, Bozeman, MT 59717 | 2019-04-17 |
| Find all providers in zip 59717 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796699 | Brandy Colvin | Nurse Practitioner | 709 N Aster Ave, Bozeman, MT 59718-6991 | 2020-09-25 |
| 1831716927 | Chloe Marie Georgeton | Nurse Practitioner | 1288 N 14th Ave Ste 201, Bozeman, MT 59715-8535 | 2020-07-06 |
| 1730737115 | Julie Ann Emerson | Nurse Practitioner | 3244 S 26th Ave, Bozeman, MT 59718-7434 | 2019-08-29 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1154867521 | Emma Hoegh | Nurse Practitioner | 211 Montana Hall, Bozeman, MT 59717-3260 | 2017-01-10 |
| 1265806475 | Sheri Larue Bagley | Nurse Practitioner | 4644 Danube Ln, Bozeman, MT 59718-8095 | 2015-11-25 |
| 1588936892 | Stephanie Buswell Burkholder | Nurse Practitioner | 215 W Mendenhall St, Room 117, Bozeman, MT 59715-3478 | 2012-02-01 |
| 1801164330 | Christina M. Tooley | Nurse Practitioner | 300 N Willson Ave Ste 2001, Bozeman, MT 59715-3572 | 2011-12-12 |
| 1851569438 | Margaret B Marsh | Nurse Practitioner | 1805 Oak St Ste 3, Bozeman, MT 59715 | 2008-02-15 |
| 1699841536 | Janet Reynolds Winnie | Nurse Practitioner | 7th Ave and Grant St, Bozeman, MT 59717-3260 | 2006-11-24 |
| Find all providers in BOZEMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.