Sherri Widhalm, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-TMP-2747 Issued in MT

Practice address

629 Coyote LN
Great Falls, MT 59404-3571

Phone

(406) 781-8748

NPI assigned

Dec 19, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sound Start Therapy of Montana

  • Speech-Language Pathologist
  • Great Falls, MT
  • NPI 1073386975

  MT, Speech-Language Pathologist

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418947200000",
    "number": "1013315340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 COYOTE LANE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59404",
            "telephone_number": "406-781-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 COYOTE LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043571",
            "telephone_number": "406-781-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDHALM",
        "first_name": "SHERRI",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2014-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-TMP-2747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Clayton Whitney, D.D.S.
• Steven J Whitney, D.D.S.
• James L Whittle, MD
• Whole Life Therapeutics LLC
• Why Knot Therapy
• Whitney K Widhalm, PHARMD, RPH
• Elizabeth Wiener, APRN, FNP-C
• Wild and Well Counseling
• Jerald Dale Wiley, DC
• Kristin Joy Wiley, DO

• All providers in Great Falls, MT
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.