Individual provider Active NPI

Natalie Nielsen Whicker, MS

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1609484575
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-4362 Issued in ID
Practice address
13075 W Persimmon LN Ste 120
Boise, ID 83713-1986
Phone
(208) 793-7006
NPI assigned
Jul 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-4362 ID Primary

Addresses

Primary practice location

13075 W Persimmon LN Ste 120
Boise, ID 83713-1986

Mailing address

1442 N Cormorant PL Apt 205
Boise, ID 83713-7982
Phone (480) 772-8051

Other names 1

  • Natalie Elise Nielsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210628001784 MT Practitioner - Qualified Speech Language Pathologist 8527486091 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SLP-4362IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Whicker Group Speech-Language Pathologist CurrentSince Jun 1, 2021 Accepting new patients
Connection Specialists Speech-Language Pathologist PastSince Apr 30, 2023 Accepting new patients

Locations

1655 Shiloh Rd
Ste D
Billings, MT 59106
Phone (406) 238-6350

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

205 S Haynes Ave
#2
Miles City, MT 59301
Phone (406) 233-4327

2600 Wilson St
Ste 4
Miles City, MT 59301
Phone (406) 233-4327

Organizations & group practices 2

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1609484575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 N CORMORANT PL APT 205",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837137982",
            "telephone_number": "480-772-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 W PERSIMMON LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-793-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHICKER",
        "first_name": "NATALIE",
        "middle_name": "NIELSEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "NIELSEN",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.