Active NPI
Western Montana Hearing and Speech
- Audiologist
- Missoula, MT
National Provider Identifier
1306429097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- WESTERN MONTANA HEARING AND SPEECH
- Practice address
- 1515 S Reserve St Ste 110
Missoula, MT 59801-4755 - Phone
- (406) 926-1969
- Fax
- (406) 926-1970
- NPI assigned
- Apr 30, 2021
- Last updated
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Foley
- Title
- Credentialing
- Phone
- (406) 329-7598
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | Primary | |
| Speech-Language Pathologist | 235Z00000X | NU |
Addresses
Primary practice location
1515 S Reserve St Ste 110
Missoula, MT 59801-4755
Mailing address
1515 S Reserve St Ste 110
Missoula, MT 59801-4755
Phone (406) 926-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1515 S Reserve St
Ste 110
Missoula, MT 59801
Phone (406) 926-1969
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Missoula, MT
- NPI 1730116542
-
- Audiologist
- Missoula, MT
- NPI 1578355640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624320000000",
"number": "1306429097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 S RESERVE ST STE 110",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014755",
"telephone_number": "406-926-1969",
"fax_number": "406-926-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 S RESERVE ST STE 110",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014755",
"telephone_number": "406-926-1969",
"fax_number": "406-926-1970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN MONTANA HEARING AND SPEECH",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-30",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A",
"authorized_official_last_name": "FOLEY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "406-329-7598"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
- Western Montana Clinic PC
- Western Montana Clinic PC
- Western Montana Clinic PC (Western Montana Clinic Laboratory)
- Western Montana Clinic PC
- Western Montana Foot and Ankle PLLC
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center
- Western Montana Mental Health Center (Dakota Place)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.