TAMARA LEE KITTELSON-ALDRED (NPI# 1346309424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346309424 |
Entity Type | Individual |
Full Name | TAMARA LEE KITTELSON-ALDRED |
Credential | MS, OTR, ATP |
Practice Address |
501 E Central Ave Missoula MT 59801-7022 |
Practice Telephone | 4065499521 |
Practice Fax Number | 4067284190 |
Mailing Telephone | 4065499521 |
Mailing Fax Number | 4067284190 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 225CA2400X |
Rehabilitation Counselor Specialization: Assistive Technology Practitioner |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 225X00000X | Occupational Therapist | 41 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | BLUE CROSS BLUE SHIELD | 66205 | 01 |
MT | 344675 | 05 | |
MT | 0601681 | 05 |
Street Address |
501 E CENTRAL AVE |
City | MISSOULA |
State | MT |
Zip Code | 59801-7022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629681010 | Time To Thrive Pllc | Social Worker | 1836 South Ave. West, Missoula, MT 59801 | 2020-08-26 |
1740815653 | Yuzo Fujiki | Specialist/Technologist | 210 N California St 104, Missoula, MT 59801 | 2020-03-11 |
1407346596 | Stepping Stones Counseling, Pllc | Counselor | 202 Brooks St Ste 300, Missoula, MT 59801 | 2018-05-14 |
1437668530 | Rejuve Care Clinic, Inc | Plastic Surgery | 715 Kensingten, Ste 1, Missoula, Missoula, MT 59801 | 2017-09-21 |
1619499555 | Beatrice Elise Powers | Specialist/Technologist | 410 B Stephens Ave, Missoula, MT 59801 | 2017-07-12 |
1770012197 | Hannah Lepiane | Massage Therapist | 1313 S. 4th W., Missoula, MT 59801 | 2017-06-08 |
1811420227 | Celeste Willis | Social Worker | 1055 W. Sussex, Missoula, MT 59801 | 2017-04-04 |
1073050498 | Rina Kasuga | Specialist/Technologist | 913 Rimini Ct, Missoula, MT 59801 | 2017-01-24 |
1043756919 | Heather Bartz | Specialist/Technologist | 831 Hastings Ave, Missoula, MT 59801 | 2017-01-16 |
1255874517 | Sarabeth Haddad | Social Worker | 1055 W Sussex Ave, Missoula, MT 59801 | 2016-11-18 |
Find all providers in zip 59801 |
Taxonomy Code | 225CA2400X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Counselor |
Specialization | Assistive Technology Practitioner |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386205508 | Rebecca Masterjohn | Rehabilitation Counselor | 275 Corporate Dr Ste 600, Kalispell, MT 59901-6093 | 2019-06-27 |
Please comment or provide details below to improve the information on TAMARA LEE KITTELSON-ALDRED.
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.