AGAVE SPEECH AND LANGUAGE SERVICES LLC (NPI# 1265937551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265937551 |
| Entity Type | Organization |
| Organization Name | AGAVE SPEECH AND LANGUAGE SERVICES LLC |
| Practice Address |
1747 N Fairmeadow Dr Boise ID 83704-7007 |
| Mailing Address |
9504 W Amity Rd Boise ID 83709-5311 |
| Practice Telephone | 2087612109 |
| Mailing Telephone | 2087612109 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2018-03-28 |
| Authorized Official Name | JENNIFER HOBBS (OWNER) |
| Authorized Official Telephone | 2087612109 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-2638 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | INDIVIDUAL NPI | 1215360169 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9504 W Amity Rd, Boise, ID 837095311 | 2087612109 |
| Street Address |
1747 N FAIRMEADOW DR |
| City | BOISE |
| State | ID |
| Zip Code | 83704-7007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417573809 | Jaclyn Christine Harmon | Speech-Language Pathologist | 8620 W Emerald St Ste 100, Boise, ID 83704-4838 | 2020-06-22 |
| 1770063521 | Stephanie M Thomas | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-08-20 |
| 1285128546 | Sara Bergsma Speech Pathology, LLC | Speech-Language Pathologist | 10873 W Seneca Dr, Boise, ID 83709-3946 | 2018-06-20 |
| 1689168445 | Boise Speech Tree, LLC | Speech-Language Pathologist | 1015 W Hays St Ste 104, Boise, ID 83702-5412 | 2018-06-15 |
| 1598257651 | Kelly Marie Howard | Speech-Language Pathologist | 4120 N Creswell Way, Boise, ID 83713-2403 | 2018-06-05 |
| 1134663008 | Kara Marie Nixon | Speech-Language Pathologist | 6289 S Hollyhock Way, Boise, ID 83716-7077 | 2016-12-13 |
| 1619349545 | Carla Motley | Speech-Language Pathologist | 1720 N Westgate Dr Ste D, Boise, ID 83704-7164 | 2015-10-30 |
| 1093181257 | Leslie Ann Johnson | Speech-Language Pathologist | 13176 W Persimmon Ln Ste 120, Boise, ID 83713-5027 | 2015-08-11 |
| 1023415171 | Christy Baltazor | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2014-12-03 |
| 1801299300 | Anna Robertson | Speech-Language Pathologist | 2516 W Idaho St, Boise, ID 83702-4840 | 2014-09-29 |
| Find all providers in BOISE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.