Active NPI
Brittany Stoltman, SLP
- Speech-Language Pathologist
- West Fargo, ND
National Provider Identifier
1235577362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1499
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.