MS. JACIE JEAN POLLARD (NPI# 1891959235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891959235 |
| Entity Type | Individual |
| Full Name | MS. JACIE JEAN POLLARD |
| Credential | M.S., CCC-SLP |
| Practice Address |
1110 Call Creek Dr Suite #7 Pocatello ID 83201-3072 |
| Mailing Address |
1333 N Main St Pocatello ID 83204-2609 |
| Practice Telephone | 2082334660 |
| Practice Fax Number | 2082334262 |
| Mailing Telephone | 2082690480 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2008-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1749 | ID | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASHA CERTIFICATION # | 12130374 | 01 | |
| ID | STATE LICENSE # | SLP-1749 | 01 |
| Street Address |
1110 CALL CREEK DR SUITE #7 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831626639 | Daniel Leatham | Occupational Therapist | 1110 Call Creek Dr, Ste. 7, Pocatello, ID 83201-3001 | 2017-05-11 |
| 1407398027 | Tania Helbert | Physical Therapist | 1110 Call Creek Dr, Ste. 7, Pocatello, ID 83201-3001 | 2016-11-14 |
| 1316398373 | Linda Parrish | Speech-Language Pathologist | 1110 Call Creek Dr, Ste. 7, Pocatello, ID 83201-3001 | 2016-06-30 |
| 1659780559 | Kellie Alyse Glock | Speech-Language Pathologist | 1110 Call Creek Dr, Pocatello, ID 83201-3001 | 2014-08-05 |
| 1659707529 | William Blake Tanner | Speech-Language Pathologist | 1110 Call Creek Dr, Suite 4b, Pocatello, ID 83201-3001 | 2013-09-23 |
| 1851737159 | Sarah Marie Gaudet | Occupational Therapist | 1110 Call Creek Dr, Suite 7, Pocatello, ID 83201-3001 | 2013-05-14 |
| 1720424104 | Amanda Werth | Occupational Therapist | 1110 Call Creek Dr, Suite 7, Pocatello, ID 83201-3001 | 2013-05-13 |
| 1073865812 | Chalyse A Hall | Speech-Language Pathologist | 1110 Call Creek Dr, Pocatello, ID 83201-3001 | 2012-10-03 |
| 1669798971 | Speech Therapy Services, LLC | Speech-Language Pathologist | 1110 Call Creek Dr, Ste 4b, Pocatello, ID 83201-3072 | 2010-04-12 |
| 1659609816 | Amanda Jane Tingey | Speech-Language Pathologist | 1110 Call Creek Dr, Suite 7, Pocatello, ID 83201-3072 | 2009-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1528624673 | Casey's Specialty Speech, LLC | Speech-Language Pathologist | 920 Deon Dr Ste E, Pocatello, ID 83201-3069 | 2019-05-14 |
| 1235584939 | Patricia Taylor | Speech-Language Pathologist | 5170 W Yarrow Rd, Pocatello, ID 83201-9028 | 2016-04-30 |
| 1215397666 | Bloom Center for Pediatric Therapy | Speech-Language Pathologist | 7677 W Portneuf Rd, Pocatello, ID 83204-7336 | 2016-02-27 |
| 1578871505 | Krista Jean Hale | Speech-Language Pathologist | 1045 Homerun St, Pocatello, ID 83202-1616 | 2010-09-24 |
| 1447567144 | Marcia Williams | Speech-Language Pathologist | 1110 Call Creek Dr Ste 4b, Pocatello, ID 83201-3072 | 2010-09-02 |
| 1417261645 | Michelle Lee Lance | Speech-Language Pathologist | 13345 W Reservation Rd, Pocatello, ID 83202-5131 | 2010-07-29 |
| 1114239803 | Hollie Jo Bowman | Speech-Language Pathologist | 1322 W Syphon Rd, Pocatello, ID 83204-7436 | 2010-07-09 |
| 1952631459 | Gunda Jones | Speech-Language Pathologist | 495 Kurtwood Dr, Pocatello, ID 83204-3556 | 2010-01-05 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1053519751 | Cheryl Zaremba | Speech-Language Pathologist | 896 Lucille Ave, Pocatello, ID 83201-2618 | 2007-07-05 |
| Find all providers in POCATELLO | ||||
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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.