Active NPI
Julie A. Doerner, SPEECH-LANGUAGE PATH
- Speech-Language Pathologist
- St Ignatius, MT
National Provider Identifier
1942476510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-LIC-1074
- Practice address
- 35401 Mission Dr
Saint Ignatius, MT 59865-7791 - Phone
- (406) 745-3525
- Fax
- (406) 745-3529
- NPI assigned
- May 5, 2008
- Last updated
- Mar 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC-1074 | MT | Primary |
Addresses
Primary practice location
35401 Mission Dr
Saint Ignatius, MT 59865-7791
Mailing address
PO Box 880
Saint Ignatius, MT 59865-0880
Phone (406) 745-3525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-LIC-1074 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doerner Speech Language Services, LLC | Current | Accepting new patients | |
| Confederated Salish & Kootenai Tribes of the Flathead Reservation | Current | Accepting new patients | |
| Confederated Salish and Kootenai Tribes of the Flathead Reservation | Current | Accepting new patients |
Locations
1313 W Park St
Ste 13
Livingston, MT 59047
Phone (406) 570-0962
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- St Ignatius, MT
- NPI 1952402208
-
- Clinic/Center
- Livingston, MT
- NPI 1447502406
-
dba CSKT St. Ignatius Health Center Pharmacy
- Community/Retail Pharmacy
- St Ignatius, MT
- NPI 1669502316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1942476510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880",
"city": "SAINT IGNATIUS",
"state": "MT",
"postal_code": "598650880",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35401 MISSION DR",
"city": "SAINT IGNATIUS",
"state": "MT",
"postal_code": "598657791",
"telephone_number": "406-745-3525",
"fax_number": "406-745-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERNER",
"first_name": "JULIE",
"middle_name": "A.",
"credential": "SPEECH-LANGUAGE PATH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC-1074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Ignatius, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.