KIMBERLY ANNETTE MAXWELL (NPI# 1922183805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922183805 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNETTE MAXWELL |
| Credential | D.C. |
| Practice Address |
2245 W Koch St Ste A Bozeman MT 59718-4013 |
| Practice Telephone | 4065857000 |
| Practice Fax Number | 4065857102 |
| Mailing Telephone | 4065857000 |
| Mailing Fax Number | 4065857102 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 868 | MT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS/BLUE SHIELD | 000041811 | 01 |
| MT | 0165291 | 05 | |
| MT | 0165321 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083271589 | Kimberly B Maxwell | Case Manager/Care Coordinator | 10025 W Markham St Ste 210, Little Rock, AR 72205-2178 | 2019-05-21 |
| 1104394584 | Kimberly M Maxwell | Social Worker | 1301 Continental Dr Ste 101, Abingdon, MD 21009-2338 | 2018-11-05 |
| 1437589405 | Kimberly Maxwell | Case Manager/Care Coordinator | 4890 32nd Ave Se, Salem, OR 97317-9350 | 2013-11-12 |
| 1669683900 | Kimberly Leanne Maxwell | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-05-25 |
| 1598881922 | Kimberly Maxwell | Occupational Therapist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2007-03-21 |
| Street Address |
2245 W KOCH ST STE A |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59718-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023545639 | Elite Chiropractic Limited Liability Company | Chiropractor | 2245 W Koch St, Suite A, Bozeman, MT 59718-4010 | 2017-05-12 |
| 1821289240 | Gary Joseph Litle | Chiropractor | 2245 W Koch St, Suite A, Bozeman, MT 59718-4010 | 2007-08-09 |
| 1295875805 | Dr. Gary J. Litle, Chiropractic Physician, P.C. | Chiropractor | 2245 W Koch St, Suite A, Bozeman, MT 59718-4010 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932727518 | Alex Mattucci | Pharmacist | 200 South 23rd St, Bozeman, MT 59718 | 2020-07-09 |
| 1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
| 1528680733 | Amanda Harris | Student in an Organized Health Care Education/Training Program | 301 Edelweiss Dr, Unit 7, Bozeman, MT 59718 | 2020-05-11 |
| 1568946291 | Build Physio & Performance, Pllc | Physical Therapist | 609 Pronghorn Trail, Bozeman, MT 59718 | 2018-09-19 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1588179873 | Melissa N Blixt | Nurse Practitioner | 1805 W. Oak, Bozeman, MT 59718 | 2017-12-07 |
| 1861949455 | Kristina Joy Parmelee | Massage Therapist | 1001 West Oak Street #210, Bozeman, MT 59718 | 2016-09-01 |
| 1265883037 | Molly Kathleen Smith | Specialist | 642 S. Cottonwood Rd., Suite 2, Bozeman, MT 59718 | 2016-06-23 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 1548664253 | Stacy Montaigne Aucoin | Social Worker | 102 S. 19th, Suite #5, Bozeman, MT 59718 | 2014-10-09 |
| Find all providers in zip 59718 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657632 | Erik Morrell | Chiropractor | 2405 W Main St Ste 8, Bozeman, MT 59718-3978 | 2019-12-30 |
| 1184107872 | Hunter Family Chiropractic Pllc | Chiropractor | 37 Spanish Peak Drive, Bozeman, MT 59718 | 2018-09-10 |
| 1366921140 | Logan Michael Hunter | Chiropractor | 37 Spanish Peak Dr, Bozeman, MT 59718-9481 | 2018-08-12 |
| 1851809693 | Cary Trent Gentry | Chiropractor | 200 S 23rd Ave Ste E5, Bozeman, MT 59718-3965 | 2018-01-15 |
| 1750899597 | Waypoint Chiropractic, LLC | Chiropractor | 3960 Valley Commons Dr Unit 2, Bozeman, MT 59718-5603 | 2018-01-15 |
| 1043723778 | Gordon William Christian | Chiropractor | 2419 W Main St Ste 1, Bozeman, MT 59718-3813 | 2017-11-16 |
| 1437668449 | Pursue Wellness Chiropractic LLC | Chiropractor | 2407 W Main St Ste 102, Bozeman, MT 59718-4112 | 2017-09-21 |
| 1467986083 | Kimberly Jill Hunziker | Chiropractor | 1086 Baxter Ln E, Bozeman, MT 59718-9782 | 2017-04-20 |
| 1659813848 | Jeffery Marvin Garner | Chiropractor | 2245 W Koch St Ste A, Bozeman, MT 59718-4013 | 2016-11-06 |
| 1063891414 | Dutton & Willhite, Inc. | Chiropractor | 2622 W. Main Ste. B, Bozeman, MT 59718 | 2015-05-19 |
| 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.