NORTHWEST PEDIATRIC SPEECH THERAPY, LLC (NPI# 1760008262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760008262 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PEDIATRIC SPEECH THERAPY, LLC |
| Practice Address |
1130 W Hayden Ave Ste 103 Hayden ID 83835-8720 |
| Practice Telephone | 2086609463 |
| Practice Fax Number | 2089080044 |
| Mailing Telephone | 2086609463 |
| Mailing Fax Number | 2089080044 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | MEGAN MCMASTER (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Telephone | 2086609463 |
| Authorized Official Credential | CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1740793405 | 05 |
| Street Address |
1130 W HAYDEN AVE STE 103 |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-8720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| 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 |
|---|---|---|---|---|
| 1164765251 | Heather Penske | Speech-Language Pathologist | 1397 North Biztown Loop, Hayden, ID 83835-5044 | 2013-03-27 |
| 1154671048 | Cristina Villarreal | Speech-Language Pathologist | 2802 E Grand Tour Dr, Hayden, ID 83835-7783 | 2012-09-18 |
| 1407012628 | Michelle C Coppess | Speech-Language Pathologist | 1401 W Bizztown Loop, Hayden, ID 83835-5113 | 2008-08-07 |
| 1114123809 | Holly B Alling | Speech-Language Pathologist | 8546 N Cloverleaf Dr, Hayden, ID 83835-8259 | 2007-06-21 |
| 1699388017 | Restore Teletherapy, LLC | Speech-Language Pathologist | 8546 N Cloverleaf Dr, Hayden, ID 83835-8259 | 2020-08-25 |
| 1689132375 | Villa Pediatric Therapy LLC | Speech-Language Pathologist | 2802 E Grand Tour Dr, Hayden, ID 83835-7783 | 2019-03-12 |
| 1538607007 | Lynley Peterson Cazier | Speech-Language Pathologist | 8152 N Wayne Blvd, Hayden, ID 83835-5031 | 2017-02-05 |
| 1043566037 | Deborah Ann Ralston | Speech-Language Pathologist | 1401 W Bizztown Loop, Hayden, ID 83835-5113 | 2012-07-27 |
| 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 |
| 1659908481 | Communication Steps, LLC | Speech-Language Pathologist | 8875 Butte Rd, Sweet, ID 83670-5005 | 2020-03-23 |
| 1275170383 | Angela M Abbott | Speech-Language Pathologist | 79 N Plummer Rd, Star, ID 83669-5561 | 2019-12-09 |
| 1669016689 | Amy Ochs | Speech-Language Pathologist | 239 N Storybook Way, Eagle, ID 83616-4891 | 2019-11-01 |
| 1679114060 | Amy L Doughty | Speech-Language Pathologist | 25844 Old Spiral Hwy, Lewiston, ID 83501-5893 | 2019-10-07 |
| 1669020988 | Sierra Kamplain | Speech-Language Pathologist | 700 Riverfront Dr Rm 4, Salmon, ID 83467-5190 | 2019-08-29 |
| 1346896149 | Susan Kathryn Rauma | Speech-Language Pathologist | 3378 N 3300 E, Kimberly, ID 83341-5266 | 2019-08-16 |
| 1740834134 | Katelyn Smith | Speech-Language Pathologist | 829 S Washington Ave Ste C, Emmett, ID 83617-3528 | 2019-07-24 |
| 1740833466 | Lindsay Winger | Speech-Language Pathologist | 152 E Maint St., #110, Rigby, ID 83442 | 2019-07-22 |
| 1659939502 | Emily Speakes | Speech-Language Pathologist | 8473 Irie Ln, Middleton, ID 83644-4802 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHWEST PEDIATRIC SPEECH THERAPY, LLC.
| 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.