Individual provider Active NPI

Stephanie Lynn Lighter, CNM, WHNP

  • Midwife
  • Missoula, MT
National Provider Identifier
1952079204
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
NUR-APRN-LIC-178061 Issued in MT
Practice address
2831 Fort Missoula Rd BLDG 2
Missoula, MT 59804-7419
Phone
(406) 523-5650
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NUR-APRN-LIC-178061 MT
Midwife 176B00000X NUR-APRN-LIC-178061 MT Primary

Addresses

Primary practice location

2831 Fort Missoula Rd BLDG 2
Missoula, MT 59804-7419

Mailing address

401 S 1St St W Unit 1
Missoula, MT 59801-1850
Phone (240) 599-6456

Other practice location 1

2404 39th St
Missoula, MT 59803-1123
Phone (406) 541-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118001873 MT Practitioner - Certified Nurse Midwife (CNM) 8820487515 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-178061MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Origin Health LLC CurrentSince Oct 1, 2021 Accepting new patients
RCHP Billings - Missoula LLC Past Accepting new patients
RCHP Billings - Missoula LLC PastSince Sep 5, 2021 Accepting new patients

Locations

2831 Fort Missoula Rd
Bldg 2
Missoula, MT 59804
Phone (406) 523-5650

2831 Fort Missoula Rd
Ste 232
Missoula, MT 59804
Phone (406) 523-5650

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21046/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stephanie.lighter.1@21046.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1952079204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 1ST ST W UNIT 1",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598011850",
            "telephone_number": "240-599-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 FORT MISSOULA RD BLDG 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598047419",
            "telephone_number": "406-523-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 39th St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598031123",
            "country_code": "US",
            "telephone_number": "406-541-7115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTER",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "CNM, WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-178061",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MT",
            "license": "NUR-APRN-LIC-178061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.