Individual provider Active NPI

Stephanie Wightman, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Billings, MT
National Provider Identifier
1497355085
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-SP-LIC-11420 Issued in MT
Practice address
1655 Shiloh Rd Ste D
Billings, MT 59106-1726
Phone
(406) 629-1175
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP.14638 OH
Athletic Trainer 2255A2300X COND.20201555-SP OH
Speech-Language Pathologist 235Z00000X SLP-SP-LIC-11420 MT Primary

Addresses

Primary practice location

1655 Shiloh Rd Ste D
Billings, MT 59106-1726

Mailing address

208 Cider Mill LN
Brunswick, OH 44212-1539
Phone (440) 591-8642

Other practice location 1

4170 State Route 43
Kent, OH 44240-6916
Phone (330) 673-8581

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL stephanie.soja@fieldlocalschools.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
COND.20201555-SPOHMDAthletic Trainer
SLP-SP-LIC-11420MTMDSpeech-Language Pathologist
SP.14638OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Connection Specialists Speech-Language Pathologist PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1497355085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CIDER MILL LN",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121539",
            "telephone_number": "440-591-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SHILOH RD STE D",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591061726",
            "telephone_number": "406-629-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4170 State Route 43",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "OH",
            "postal_code": "442406916",
            "country_code": "US",
            "telephone_number": "330-673-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGHTMAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.14638",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "COND.20201555-SP",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-11420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "stephanie.soja@fieldlocalschools.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4170 State Route 43",
            "city": "Kent",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442406916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.