Individual provider Active NPI

Brittany Stoltman, SLP

  • Speech-Language Pathologist
  • West Fargo, ND
National Provider Identifier
1235577362
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1499 Issued in ND
Practice address
645 33Rd Ave E
West Fargo, ND 58078-8074
Phone
(701) 478-7868
Fax
(701) 356-7005
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 9108 MN
Speech-Language Pathologist 235Z00000X 1499 ND Primary

Addresses

Primary practice location

645 33Rd Ave E
West Fargo, ND 58078-8074

Mailing address

201 9TH St W
Ada, MN 56510-1279
Phone (218) 784-5000

Other practice location 1

201 9th St W
Ada, MN 56510-1279
Phone (218) 784-5000

Other names 1

  • Brittany Burke Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1235577362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 9TH ST W",
            "city": "ADA",
            "state": "MN",
            "postal_code": "565101279",
            "telephone_number": "218-784-5000",
            "fax_number": "218-784-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 33RD AVE E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788074",
            "telephone_number": "701-478-7868",
            "fax_number": "701-356-7005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 9th St W",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "MN",
            "postal_code": "565101279",
            "country_code": "US",
            "telephone_number": "218-784-5000",
            "fax_number": "218-784-3753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOLTMAN",
        "first_name": "BRITTANY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9108",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "BURKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.