Active NPI
Katie Kumnick, SLP
- Speech-Language Pathologist
- Butte, MT
National Provider Identifier
1407679954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-12696
- Practice address
- 2100 Harrison Ave Ste C
Butte, MT 59701-6004 - Phone
- (406) 690-6996
- Fax
- (406) 206-5262
- NPI assigned
- Nov 4, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-12696 | MT | Primary |
Addresses
Primary practice location
2100 Harrison Ave Ste C
Butte, MT 59701-6004
Mailing address
1701 Avenue E Ste a
Billings, MT 59102-2943
Phone (406) 690-6996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250226001044 | MT | Practitioner - Qualified Speech Language Pathologist | 4880114446 |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1701 Ave E
Suite a
Billings, MT 59102-2943
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-12696 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1407679954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 AVENUE E STE A",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591022943",
"telephone_number": "406-690-6996",
"fax_number": "406-206-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HARRISON AVE STE C",
"city": "BUTTE",
"state": "MT",
"postal_code": "597016004",
"telephone_number": "406-690-6996",
"fax_number": "406-206-5262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMNICK",
"first_name": "KATIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-12696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.