KATHERINE M PELLETT (NPI# 1932233632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932233632 |
| Entity Type | Individual |
| Full Name | KATHERINE M PELLETT |
| Credential | APRN, NP |
| Practice Address |
115 4th St S Community Health Care Center Great Falls MT 59401-3618 |
| Practice Telephone | 4064546973 |
| Mailing Telephone | 4064546973 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
24541 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 9971418 | 05 | |
| MT | BCBS MT | 374680 | 01 |
| Street Address |
115 4TH ST S COMMUNITY HEALTH CARE CENTER |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59401-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780691691 | Aleece Paige Reynolds | Counselor | 115 4th St S, Suite 502, Great Falls, MT 59401-3618 | 2006-08-02 |
| 1265903645 | Mona Lynne Clewley | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2018-12-11 |
| 1184102162 | Nash John Hallfrisch | Physician Assistant | 115 4th St S, Great Falls, MT 59401-3618 | 2018-08-01 |
| 1356828826 | Karie Marie Pietrykowski | Family Medicine | 115 4th St S, Great Falls, MT 59401 | 2018-07-26 |
| 1417491747 | Kristina Grovhoug | Social Worker | 115 4th St S, Great Falls, MT 59401-3618 | 2016-12-06 |
| 1437608825 | Angela Carroll | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2016-09-26 |
| 1851742266 | Annette Griffin | Clinical Nurse Specialist | 115 4th St S, Great Falls, MT 59401-3618 | 2016-06-27 |
| 1275913469 | Zachariah Schenk | Counselor | 115 4th St S, Great Falls, MT 59401-3618 | 2015-06-03 |
| 1922386580 | Linda Kay Wing | Dental Hygienist | 115 4th St S, Great Falls, MT 59401-3618 | 2011-08-01 |
| 1376788893 | Debra K Misener | Dietitian, Registered | 115 4th St S, Great Falls, MT 59401-3618 | 2008-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578025375 | Stacy A Mckittrick | Counselor | 26 4th St S, Great Falls, MT 59401 | 2019-04-02 |
| 1710429956 | Kenneth Engelhardt | Counselor | 2501 2nd Avenue North, Great Falls, MT 59401 | 2016-11-04 |
| 1043675945 | Nathan Wade Steward | Counselor | 926 8th Ave North, Great Falls, MT 59401 | 2015-12-18 |
| 1720464340 | Rivers Edge Dental | Health Maintenance Organization | 1900 River Drive North, Great Falls, MT 59401 | 2015-08-05 |
| 1508261140 | Maryann Dubay | Counselor | 26 4th Street North, Gateway Community Services, Great Falls, MT 59401 | 2014-10-24 |
| 1508291303 | Teresa Schmit | Social Worker | 410 Central Ave Ste 507, Great Falls, MT 59401 | 2013-09-11 |
| 1851651863 | Teresa Marie Mouser | Counselor | 1601 2nd Ave N Ste 208, Great Falls, MT 59401 | 2012-05-23 |
| 1952683542 | Mary Dolores Mancillas-loveless | Physical Therapy Assistant | 612 1st Ave. So., Great Falls, MT 59401 | 2011-09-09 |
| 1629363338 | Tanya Lee Harant | Technician, Other | 614 Central Ave., Great Falls, MT 59401 | 2011-06-10 |
| 1528384500 | Bridget Troy Hanson | Social Worker | 1601 2nd Ave N Ste 450, Great Falls, MT 59401 | 2010-04-15 |
| Find all providers in zip 59401 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351142 | Penny Cameron | Nurse Practitioner | 400 Seneca Rd, Great Falls, VA 22066-1111 | 2006-08-08 |
| 1992057624 | Sarah Elizabeth Roberts | Nurse Practitioner | 1101 26th St S, Great Falls, MT 59405-5161 | 2012-10-04 |
| 1588915847 | Benefis Spectrum Medical, Inc. | Nurse Practitioner | 1411 9th St S, Great Falls, MT 59405-4507 | 2012-09-27 |
| 1225272057 | Ethan Michael Clark Howe | Nurse Practitioner | 1117 29th St S, Suite 500, Great Falls, MT 59405-5306 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386151207 | Mary Anderson | Nurse Practitioner | 2002 Knight St, Helena, MT 59601-1562 | 2017-12-30 |
| 1568828226 | Mary Shick | Nurse Practitioner | 2835 Fort Missoula Rd Ste 200, Physicians Building No. 3, Missoula, MT 59804-7424 | 2016-01-11 |
| 1043503113 | Paul Pfennig | Nurse Practitioner | 309 S Central Ave, Sidney, MT 59270-4127 | 2011-05-24 |
| 1962541359 | Alice Running | Nurse Practitioner | 300 N Willson Ave Ste 303c, Bozeman, MT 59715-3551 | 2007-02-05 |
| 1457336471 | Dawn Marie Murray | Nurse Practitioner | 350 Heritage Way Ste 1100, Kalispell, MT 59901-3160 | 2005-12-13 |
| 1639735616 | Julie Renee Romasko | Nurse Practitioner | 350 Heritage Way Ste 2300, Kalispell, MT 59901-3167 | 2019-05-14 |
| 1235794918 | Amanda Beth Womack | Nurse Practitioner | 300 Garnet Way, Warm Springs, MT 59756-9700 | 2019-05-07 |
| 1821563230 | Maria Krasowski | Nurse Practitioner | 801 N 29th St, Billings, MT 59101-0905 | 2018-10-11 |
| 1427530369 | Danielle Tinsley | Nurse Practitioner | 25 W Front St, Butte, MT 59701-2801 | 2018-09-06 |
| 1962981068 | Callie Puls | Nurse Practitioner | 1231 N 29th St, Billings, MT 59101-0122 | 2018-08-09 |
| Find all providers with the same taxonomy | ||||
| City | GREAT FALLS |
| Zip Code | 59401 |
Please comment or provide details below to improve the information on KATHERINE M PELLETT.
| 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.