Active NPI
Tana Thorley Whicker, MS, CCC-SLP
- Speech-Language Pathologist
- Miles City, MT
National Provider Identifier
1164561635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660170 | Other | MT | BLUE CROSS NUMBER |
| 0531539 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 965 | MT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connection Specialists | Speech-Language Pathologist | Current | 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.