Individual provider Active NPI

Tana Thorley Whicker, MS, CCC-SLP

  • Speech-Language Pathologist
  • Miles City, MT
National Provider Identifier
1164561635
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
965 Issued in MT
Practice address
205 S Haynes Ave Unit 2
Miles City, MT 59301-4779
Phone
(406) 233-4327
Fax
(406) 233-3985
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 965 MT Primary

Addresses

Primary practice location

205 S Haynes Ave Unit 2
Miles City, MT 59301-4779

Mailing address

2206 Main St
Miles City, MT 59301-3802
Phone (406) 234-2387

Other identifiers 2

IdentifierTypeStateIssuer
660170OtherMTBLUE CROSS NUMBER
0531539MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
965MTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Connection Specialists Speech-Language Pathologist CurrentSince Apr 30, 2023 Accepting new patients

Locations

1655 Shiloh Rd
Ste D
Billings, MT 59106
Phone (406) 238-6350

205 S Haynes Ave
#2
Miles City, MT 59301
Phone (406) 233-4327

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1164561635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 MAIN ST",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593013802",
            "telephone_number": "406-234-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HAYNES AVE UNIT 2",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014779",
            "telephone_number": "406-233-4327",
            "fax_number": "406-233-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHICKER",
        "first_name": "TANA",
        "middle_name": "THORLEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2023-05-19",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "660170",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531539",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miles City, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.