MRS. STEPHANIE M THOMAS (NPI# 1770063521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770063521 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE M THOMAS |
| Credential | CF-SLP |
| Practice Address |
13075 W Persimmon Ln Ste 120 Boise ID 83713-1986 |
| Mailing Address |
10979 W Tidewater Ct Boise ID 83713-1138 |
| Practice Telephone | 2083763591 |
| Practice Fax Number | 2083763594 |
| Mailing Telephone | 2083401642 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365326 | Stephanie Martha Thomas | Student in an Organized Health Care Education/Training Program | 2220 N Clark St Apt 201, Chicago, IL 60614-3849 | 2020-04-20 |
| 1770086977 | Stephanie Lorraine Thomas | Developmental Therapist | 111 Fiddlers Ridge Rd, Vine Grove, KY 40175-1265 | 2018-03-14 |
| 1295247427 | Stephanie Thomas | Dentist | 800 E Merritt Island Cswy # 105, Merritt Island, FL 32952-3514 | 2017-10-27 |
| 1548785504 | Stephanie Martin Thomas | Case Manager/Care Coordinator | 467277 E 1060 Rd, Sallisaw, OK 74955-7178 | 2017-08-10 |
| 1003267576 | Stephanie Thomas | Nurse Practitioner | 59315 River West Dr Ste C, Plaquemine, LA 70764-6553 | 2016-06-27 |
| 1003279894 | Stephanie Frances Kane Thomas | Counselor | 14910 Leeward Dr Unit 605, Corpus Christi, TX 78418-8108 | 2016-03-30 |
| 1528306578 | Stephanie Lavon Thomas | Counselor | 916 Niblick Dr, Las Vegas, NV 89108-1113 | 2013-01-25 |
| 1609135862 | Stephanie Michelle Thomas | Speech-Language Pathologist | 2286 Cottage Lane, Blanchard, OK 73010 | 2012-05-09 |
| 1932402203 | Stephanie K Thomas | Specialist/Technologist | 968 W Juanita Ave, Gilbert, AZ 85233-2549 | 2010-12-08 |
| 1043526585 | Stephanie Lynn Thomas | Counselor | 10694 Twin Lakes Ln, San Angelo, TX 76904-3412 | 2010-08-22 |
| Street Address |
13075 W PERSIMMON LN STE 120 |
| City | BOISE |
| State | ID |
| Zip Code | 83713-1986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484575 | Natalie Nielsen Whicker | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2020-07-16 |
| 1184194789 | Blake Edes | Speech-Language Pathologist | 13075 W Persimmon Ln Ste 120, Boise, ID 83713-1986 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902332 | Kidscare Home Health of Idaho, LLC | Home Health | 1835 Wildwood Street, Boise, ID 83713 | 2018-11-30 |
| 1417463928 | Kimberly Ann Bohrer | Behavioral Analyst | 12053 W Hickory Dr, Boise, ID 83713 | 2017-12-19 |
| 1407371891 | Emir Hadzic | Optometrist | 13239 W. Fernleaf St., Boise, ID 83713 | 2017-08-07 |
| 1518336650 | Alliance Physical Medicine | Nurse Practitioner | 13909 W Wainwright Drive, Boise, ID 83713 | 2015-09-18 |
| 1083038335 | Jan L Rehder | Nurse Practitioner | 13150 W Persimmon Lane, Boise, ID 83713 | 2014-02-06 |
| 1508287061 | Heather N Fox | Physician Assistant | 12273 West Mcmillan Road, Boise, ID 83713 | 2013-12-30 |
| 1659667459 | Jayson Clark | Dentist | 4274 N Eagle Road, Boise, ID 83713 | 2011-06-21 |
| 1043503659 | Steven Anthony Eckhoff | Physician Assistant | 11662 W Arlen St, Boise, ID 83713 | 2011-05-16 |
| 1790923621 | Christie Dudash Flynn | Physician Assistant | 12273 W Mcmillian Road, Boise, ID 83713 | 2009-01-30 |
| 1699930404 | Dennis J. Garpetti, Dds, P.C. | Dentist | 13108 West Persimmon Lane, Boise, ID 83713 | 2008-07-21 |
| Find all providers in zip 83713 | ||||
| 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 |
| 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 |
| 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.