Kari Lee Altenhofen – Speech-Language Pathologist

Key facts

NPI: 1922154673
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 520 (MT)
Practice address: 9885 Obrien Creek Rd
Missoula, MT 59804-5881
Phone: (406) 543-3125
NPI assigned: Jan 26, 2007
Sex: Female
Sole proprietor: No

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.

Momentum Speech Therapy, PC Speech-Language Pathologist · Missoula, MT · NPI 1063019297

NPD (past) Authorized official SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
520	MT	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Momentum Speech Therapy, PC	Speech-Language Pathologist	Past since Oct 4, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	520	MT	Yes

Addresses

Primary practice location

9885 Obrien Creek Rd
Missoula, MT 59804-5881

Mailing address

9885 Obrien Creek Rd
Missoula, MT 59804-5881
Phone (406) 543-3125

Other identifiers

Identifier	Type	State	Issuer
66101-0	Other	MT	BLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922154673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 OBRIEN CREEK RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045881",
            "telephone_number": "406-543-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 OBRIEN CREEK RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045881",
            "telephone_number": "406-543-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTENHOFEN",
        "first_name": "KARI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.A,SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "66101-0",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

All providers in Missoula, MT · Speech-Language Pathologist in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.