Individual provider Active NPI

Taylor Nicole Stafford

  • Speech-Language Pathologist
  • Hamilton, MT
National Provider Identifier
1891430385
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-LTD-LIC-119 Issued in MT
Practice address
336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone
(406) 375-0980
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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-LTD-LIC-119 MT Primary

Addresses

Primary practice location

336 Fairgrounds Rd
Hamilton, MT 59840-3126

Mailing address

1021 Market St Unit D
Corvallis, MT 59828-9111
Phone (406) 224-2412

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526002575 MT Practitioner - Qualified Speech Language Pathologist 5799163085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Physical Therapy PCGroup PAC ID 7113902321, 28 clinicians

Practice addresses (Care Compare)

336 Fairgrounds Rd
Hamilton, MT 59840-3126
Phone (406) 375-0980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physical Therapy PC CurrentSince Jul 1, 2022 Accepting new patients
Corvallis Physical Therapy, PC PastSince Jun 16, 2011 Accepting new patients

Locations

267 Rodeo Dr
Florence, MT 59833
Phone (406) 273-9033

472 Tammany Ln
Hamilton, MT 59840
Phone (406) 363-2816

336 Fairgrounds Rd
Hamilton, MT 59840
Phone (406) 375-0980

336 Fairgrounds Rd
Ste B
Hamilton, MT 59840
Phone (406) 285-8342

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1891430385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MARKET ST UNIT D",
            "city": "CORVALLIS",
            "state": "MT",
            "postal_code": "598289111",
            "telephone_number": "406-224-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "SLP-LTD-LIC-119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.