Amanda Maureen Bastian

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4962 Issued in MT

Practice address

205 S Haynes Ave
Miles City, MT 59301-4779

Phone

(406) 233-4327

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Whicker Group

  • Occupational Therapist
  • Miles City, MT
  • NPI 1316521222

  Speech-Language Pathologist

  Medicare reassignment NPD
• Connection Specialists

  • Audiologist
  • Billings, MT
  • NPI 1578251484

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1467205641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014779",
            "telephone_number": "406-233-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HAYNES AVE",
            "city": "MILES CITY",
            "state": "MT",
            "postal_code": "593014779",
            "telephone_number": "406-233-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIAN",
        "first_name": "AMANDA",
        "middle_name": "MAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "4962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara D Ash, PTA
• Aye Family Dentistry, Inc
• John Aye
• Brady J Banta, M.D.
• Stephen Base, MD
• Mackenzie Beal
• Chelsea Beaver, RN
• Thomas F Beeson, MD PC
• Ethan Scott Behrends, RN
• Nichole Benton, RN

• Speech-Language Pathologist in Miles City, MT
• Providers in Miles City, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.

Verify at the official NPI Registry.