Provider Demographics
NPI:1790896561
Name:FOSS, KRISTY LAYNE (MCSD)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:LAYNE
Last Name:FOSS
Suffix:
Gender:F
Credentials:MCSD
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:FOSS-STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MCSD
Mailing Address - Street 1:PO BOX 35100
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59107-5100
Mailing Address - Country:US
Mailing Address - Phone:406-238-2500
Mailing Address - Fax:
Practice Address - Street 1:801 N 29TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0905
Practice Address - Country:US
Practice Address - Phone:406-238-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
MT602231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY116552600OtherMDCD PIN
MT0531148OtherMDCD PIN
MT000029148OtherBCBS PIN
MT0531148Medicaid
MT0531148OtherMDCD PIN