Katie Mattingley, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LC-1221 Issued in MT

Practice address

100 2ND St E
Suite 322
Whitefish, MT 59937-2410

Phone

(406) 730-3454

Fax

(855) 312-7680

NPI assigned

Dec 14, 2016

Last updated

Apr 28, 2017By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Sky Therapy Associates, PLLP

  • Speech-Language Pathologist
  • Whitefish, MT
  • NPI 1497266084
  NPD (past) Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1033653761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599370404",
            "telephone_number": "208-859-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 2ND ST E",
            "address_2": "SUITE 322",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372410",
            "telephone_number": "406-730-3454",
            "fax_number": "855-312-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLEY",
        "first_name": "KATIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LC-1221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033653761",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mage Medicine, P.L.L.C.
• Ashleigh Marie Magill, M.D.
• Kevin Maher
• David Joseph Mahoney, PHD
• Manual Orthopedic & Sports Therapy (Most)
• Kathleen Mauer, FNP
• Ashley D May, ND
• Abbe McClenahan
• Madison McClure, OD
• Patricia Joann McCracken, DPT

• Speech-Language Pathologist in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.