Alyssa K Lundquist

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-SP-LIC-3183 Issued in MT

Practice address

962 Stoneridge Dr Ste 2
Bozeman, MT 59718-7083

Phone

(406) 600-4518

Fax

(406) 605-0771

NPI assigned

Sep 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Lone Peak Physical Therapy Inc.

  • Physical Therapist
  • Big Sky, MT
  • NPI 1477678969

  Speech-Language Pathologist

  Medicare reassignment NPD
• Mosaic, Inc

  • Clinic/Center
  • Belgrade, MT
  • NPI 1407171507
  Medicare reassignment NPD
• Lone Peak Physical Therapy Inc

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1740070564
  NPD
• Mosaic Inc

  • Rehabilitation Clinic/Center
  • Belgrade, MT
  • NPI 1194910430
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1770832735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 STONERIDGE DR STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187083",
            "telephone_number": "406-600-4518",
            "fax_number": "406-605-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 STONERIDGE DR STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187083",
            "telephone_number": "406-600-4518",
            "fax_number": "406-605-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDQUIST",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MT",
            "license": "206543",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-SP-LIC-3183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marci Kim Lund, AU.D., F-AAA, CCC-
• Jason Brooks Lunden, DPT
• Lundgren Chiropractic Clinic
• Randall Lundgren, D.C.
• Tracy Lynn Lundgren, PTA
• Lupine Pediatric Therapy LLC
• Gary Franklin Lusin, PT MS ATC CSCS
• Mary Jo Lusin, PT
• Matthew Bryan Luvisi, MSW, LCSW
• Luxottica of America Inc.

• 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 May 7, 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.