Shelby Kay Midboe

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LIC-4968 Issued in MT

Practice address

4095 South Ave W
Missoula, MT 59804-6301

Phone

(406) 549-9239

NPI assigned

Jul 20, 2017

Last updated

Mar 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Target Range Elementary School

  • Local Education Agency (LEA)
  • Missoula, MT
  • NPI 1164552592
  NPD (past)

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497278543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 23RD AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598031144",
            "telephone_number": "406-529-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046301",
            "telephone_number": "406-549-9239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Eddy Ave",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598121851",
            "country_code": "US",
            "telephone_number": "406-243-2405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4718 23rd Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598031133",
            "country_code": "US",
            "telephone_number": "406-728-9162 x2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDBOE",
        "first_name": "SHELBY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Moles LCSW Lac
• Michelle R Moles, LCSW, Lac, LLC
• Claire Ellen Michelson, ND
• Warren A Michelson, L.C.S.W.
• Melissa Sena Miculka, LMT
• Marie Middleton, PHD
• Karen Betts Mielke, MD, JD
• Mike Duchschere, Aprn, PLLC
• Mike Mondloch, Crna, Inc
• Cindy Nadine Mikes, PHARM.D.

• Speech-Language Pathologist in Missoula, MT
• Providers in Missoula, 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 Mar 17, 2018; 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.