Kirsten J Wise, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LIC-5850 Issued in MT

Practice address

1039 Stoneridge Dr Ste 5
Bozeman, MT 59718-7056

Phone

(406) 624-6599

Fax

(888) 336-0944

NPI assigned

Jun 13, 2016

Last updated

Aug 27, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Peach Tree Academy

  • Behavior Analyst
  • Billings, MT
  • NPI 1063924330

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1528418308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 QUAIL RUN RD UNIT C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597188277",
            "telephone_number": "307-899-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 STONERIDGE DR STE 5",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187056",
            "telephone_number": "406-624-6599",
            "fax_number": "888-336-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "KIRSTEN",
        "middle_name": "J",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-5850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Winske
• Clay Winters, DC
• Kalie Winters
• Mark D. Winton, M.D.
• Hailie Wise
• Marian Witthar, LCPC
• Jessica Brooke Wohlers, MS, PCLC
• Wojj Pediatric Dentistry (Bozeman Smiles)
• Danielle Wojtak, ND
• Justyna Wojtyczka, PA-C

• Speech-Language Pathologist in Bozeman, MT
• Providers in Bozeman, 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 Aug 27, 2020; 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.