KERRY J EBY (NPI# 1023194800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023194800 |
| Entity Type | Individual |
| Full Name | KERRY J EBY |
| Practice Address |
310 Sunnyview Ln Kalispell MT 59901-3129 |
| Practice Telephone | 4067516725 |
| Mailing Telephone | 4067516725 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD00042604 | WA | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
10956 | MT | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD00042604 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INTERNAL ID-MOTOR VEHICLE ID | 2000703 | 01 | |
| WA | 8395675 | 05 |
| Street Address |
310 SUNNYVIEW LN |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115678 | Harley John Brotherton II | Pharmacist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2005-09-20 |
| 1619584216 | Maren Erpelding | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-09-28 |
| 1679186795 | John Harrison | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-08-28 |
| 1871129296 | Melanie Greyn Fretwell | Dietitian, Registered | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2020-03-17 |
| 1558992198 | Laura Pierson | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2020-02-02 |
| 1366009466 | Noelle Lynn Baldwin | Speech-Language Pathologist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2019-05-23 |
| 1821560079 | Dorothy Ann Campbell | Nurse Practitioner | 310 Sunnyview Ln, Kalispell, MT 59901-3199 | 2018-12-28 |
| 1851866552 | Tiana Pallister | Genetic Counselor, MS | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-10-09 |
| 1447738125 | Courtney Rudbach | Counselor | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-08-03 |
| 1467948737 | Jennifer L Schaffner | Social Worker | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
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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.