MS. SAMANTHA KINNISON BSRC, RRT-NPS
Complete NPI Record 1508625799
Respiratory Therapist, Registered - Geriatric Care in Butte, MT

NPI Status: Active since March 18, 2024

Contact Information

2400 CONTINENTAL DR
BUTTE, MT
ZIP 59701
Phone: (361) 756-1906

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Complete NPI Dataset

This page represents the complete record for NPI 1508625799. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1508625799
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Entity Type Code: 1
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Name: SAMANTHA
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Name Prefix Text: MS.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Credential Text: BSRC, RRT-NPS
The city name in the location address of the provider being identified.
Provider First Line Business Mailing Address: 2400 CONTINENTAL DR
The State code in the location of the provider being identified.
Provider Business Mailing Address City Name: BUTTE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address State Name: MT
The country code in the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 597016563
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Telephone Number: 3617561906
The date that a record was last updated or changed.
Provider First Line Business Practice Location Address: 2400 CONTINENTAL DR
The code designating the provider’s gender if the provider is a person.
Provider Business Practice Location Address City Name: BUTTE
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address State Name: MT
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address Postal Code: 597016563
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Business Practice Location Address Country Code If outside U S : US
Provider Business Practice Location Address Telephone Number: 3617561906
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/18/2024
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/18/2024
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Provider Gender Code: F
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Healthcare Provider Taxonomy Code 1: 2279G0305X
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider License Number 1: RCP-RCP-LIC-10946
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider License Number State Code 1: MT
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
NPI Certification Date: 3/18/2024