KAITLYN ROSE SMITH (NPI# 1548871239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548871239 |
| Entity Type | Individual |
| Full Name | KAITLYN ROSE SMITH |
| Credential | M.S., CF-SLP |
| Practice Address |
2127 W Overland Rd Boise ID 83705-3149 |
| Mailing Address |
5122 S Surprise Way Apt 104 Boise ID 83716-9050 |
| Practice Telephone | 2083214898 |
| Mailing Telephone | 5613518480 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | TSLP-4407 | ID | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245798032 | Kaitlyn Smith | Clinic/Center | 343 Salem Gate Dr Se Ste 100, Conyers, GA 30013-1783 | 2019-03-11 |
| 1780169193 | Kaitlyn L Smith | Physical Therapist | 3400 E Rezanof Dr, Kodiak, AK 99615-6953 | 2018-10-02 |
| 1659850113 | Kaitlyn J Smith | Physical Therapist | 402 Eureka St, Ripon, WI 54971 | 2018-08-07 |
| 1518467497 | Kaitlyn Elizabeth Smith | Student in an Organized Health Care Education/Training Program | 22410 Bard Ave, Fairview Park, OH 44126-2900 | 2018-02-16 |
| 1942756796 | Kaitlyn A Smith | Pharmacist | 2425 S. Grayling Ave., Grayling, MI 49738 | 2016-08-31 |
| 1659643930 | Kaitlyn Mae Cremer Smith | Occupational Therapist | 151 W Ranch Trl, Palatka, FL 32177-7775 | 2012-02-02 |
| 1053912360 | Kaitlyn Smith | Social Worker | 60 W Sunbridge Dr, Fayetteville, AR 72703-1822 | 2020-11-03 |
| 1689273609 | Kaitlyn Smith | Pharmacist | 53 Exchange St, Richmond Hill, GA 31324-7600 | 2020-10-21 |
| 1922619196 | Kaitlyn Marie Smith | Speech-Language Pathologist | 45 Westwood Dr, Simsbury, CT 06070-1719 | 2020-08-12 |
| 1477178838 | Kaitlyn Rae Smith | Behavior Technician | 248 Ne Barry Rd, Kansas City, MO 64155 | 2020-06-11 |
| Street Address |
2127 W OVERLAND RD |
| City | BOISE |
| State | ID |
| Zip Code | 83705-3149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023415171 | Christy Baltazor | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2014-12-03 |
| 1770139008 | Anna K Teall | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2019-08-13 |
| 1437509833 | Mysti Walker | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2016-06-16 |
| 1710361720 | Katie Elwer | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2015-07-20 |
| 1629452248 | Cheryl Y Demeester | Speech-Language Pathologist | 2127 W Overland Rd, Boise, ID 83705-3149 | 2015-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938779 | Halo Health Services LLC | Community/Behavioral Health | 1111 S Orchard St, Boise, Id 83705, Boise, ID 83705 | 2020-06-29 |
| 1598265860 | Felica Jo Duce | Counselor | 921 S Orchard St Ste 103, Boise, ID 83705 | 2018-02-13 |
| 1215364278 | Erica Zelickowski | Pharmacist | 1653 S Vista Avenue, Boise, ID 83705 | 2013-10-04 |
| 1952655490 | Aida Dizdar-barac | Social Worker | 2273 S. Vista Avenue, Suite 190, Boise, ID 83705 | 2012-11-06 |
| 1033461033 | Julie Marie Meek | Social Worker | 3324 W Elder St, Boise, ID 83705 | 2012-10-15 |
| 1568761112 | Berkeley Fraser | Pharmacist | 3527 S Federal Way Suite 104, Boise, ID 83705 | 2011-03-22 |
| 1922311042 | Amber Vania | Family Medicine | 4971 W. Overland Road, Boise, ID 83705 | 2010-07-18 |
| 1295056836 | Cherise M Wetzel | Social Worker | 1625 S Eagleson Rd, B1, Boise, ID 83705 | 2010-06-17 |
| 1558685305 | Rae Ann Norell | Social Worker | 2273 S. Vista Ave, #190 Treasure Valley Community Counseling Services, Boise, ID 83705 | 2010-03-23 |
| 1164679932 | Oreana Harless | Social Worker | 2550 South Vista Ave, Boise, ID 83705 | 2008-08-25 |
| Find all providers in zip 83705 | ||||
| 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 |
| 1265937551 | Agave Speech and Language Services LLC | Speech-Language Pathologist | 1747 N Fairmeadow Dr, Boise, ID 83704-7007 | 2018-03-28 |
| 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 |
| 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.