SPEECH PATHOLOGY ASSOCIATES, INC (NPI# 1689954588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689954588 |
| Entity Type | Organization |
| Organization Name | SPEECH PATHOLOGY ASSOCIATES, INC |
| Practice Address |
3715 Woodking Dr Idaho Falls ID 83404-4720 |
| Mailing Address |
550 Amy Ln Ammon ID 83406-4542 |
| Practice Telephone | 2085292255 |
| Mailing Telephone | 2082211094 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |
| Authorized Official Name | MRS. BRENDA PADRON (CEO) |
| Authorized Official Telephone | 2082211094 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
SLP-2122 | ID | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003984766 | Speech Pathology Associates, Inc | Clinic/Center | 3427 Us Route 60 East, Barboursville, WV 25504 | 2006-12-01 |
| Street Address |
3715 WOODKING DR |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295855112 | Brent Sheldon Kennedy | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2007-04-02 |
| 1093203119 | Abby Lucile Jensen | Physical Medicine & Rehabilitation | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2018-04-24 |
| 1588173959 | Heather Michele Smith | Physical Therapy Assistant | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-09-28 |
| 1023531183 | Kliss Moulton | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-20 |
| 1144743329 | Rachel Maria Barnes | Speech-Language Pathologist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-07-19 |
| 1578083820 | Rebecca Coombs Butikofer | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2017-06-27 |
| 1013392802 | Heidi Maxine Boyle | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2015-07-22 |
| 1194128314 | Susan Hunter | Physical Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-10-01 |
| 1295135028 | Lisa Hong | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-29 |
| 1275932428 | Katie Fisher | Occupational Therapist | 3715 Woodking Dr, Idaho Falls, ID 83404-4720 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 261QH0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Hearing and Speech |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942748116 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1544 Fillmore St, Twin Falls, ID 83301-5777 | 2017-02-07 |
| 1346880705 | Speech 2 You Pllc | Clinic/Center | 200 S Regina Rd, Boise, ID 83716-3470 | 2020-01-13 |
| 1033611652 | Swander Communication Services, LLC | Clinic/Center | 8 N Jefferson St, Nampa, ID 83651-7628 | 2018-02-28 |
| 1104364322 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1334 Miller Ave, Burley, ID 83318-1729 | 2017-02-08 |
| 1376085449 | Hearing Connection | Clinic/Center | 4121 W State St, Boise, ID 83703-4438 | 2016-11-07 |
| 1619428935 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1710 N Whitley Dr, Suite B, Fruitland, ID 83619-2172 | 2016-10-21 |
| 1023460029 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 5520 N Eagle Rd, Suite 101, Boise, ID 83713-2700 | 2016-07-01 |
| 1972976488 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 122 N State St, Preston, ID 83263-1143 | 2015-11-05 |
| 1467871913 | Mt. Harrison Audiology and Hearing Aids LLC | Clinic/Center | 1218 9th St, Unit 2, Rupert, ID 83350-2207 | 2014-04-14 |
| 1063755387 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 1110 S Washington Ave, Emmett, ID 83617-3535 | 2013-04-04 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
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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.