Misty Jo Stockert, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

991 Issued in ND

Practice address

986 2ND Ave W
Dickinson, ND 58601-3916

Phone

(700) 140-0889

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Misty Jo Skavlem Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Applied Medical, Inc

  • Occupational Therapist
  • Bismarck, ND
  • NPI 1881665768

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442966400000",
    "number": "1427249689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 14TH ST NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585542063",
            "telephone_number": "701-663-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 2ND AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013916",
            "telephone_number": "700-140-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKERT",
        "first_name": "MISTY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2015-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISTY",
            "last_name": "SKAVLEM",
            "middle_name": "JO",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Stengel, CRNA
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• Sticka Dental Clinic, P.C.
• Samuel John Sticka, D.M.D.
• Jessica Stockert
• Kori Stockie
• Jeffery D Stockwell, N.P.
• Shawn Stoltz
• Amber Strauser
• Nicole Angela Sturm, LNA

• Speech-Language Pathologist in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; 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.