BOISE SPEECH TREE, LLC (NPI# 1689168445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689168445 |
| Entity Type | Organization |
| Organization Name | BOISE SPEECH TREE, LLC |
| Practice Address |
1015 W Hays St Ste 104 Boise ID 83702-5412 |
| Mailing Address |
935 E Winding Creek Dr Ste 120 Eagle ID 83616-7242 |
| Practice Telephone | 2089384748 |
| Practice Fax Number | 2089381710 |
| Mailing Telephone | 2089384748 |
| Mailing Fax Number | 2089381710 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | SHARI ELIZABETH MORRISON-DOKE (PRESIDENT) |
| Authorized Official Telephone | 2089384748 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1353 | ID | Speech, Language and Hearing Service Providers |
| Street Address |
1015 W HAYS ST STE 104 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| 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 |
| 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 |
| 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.