Active NPI
Ann Tomchak
- Speech-Language Pathologist
- Driggs, ID
National Provider Identifier
1003230400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-6071
- Practice address
- 3872 South St
Driggs, ID 83422-4986 - Phone
- (419) 908-8668
- NPI assigned
- Feb 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 3501 | OH | |
| Speech-Language Pathologist | 235Z00000X | SLP-6071 | ID | Primary |
Addresses
Primary practice location
3872 South St
Driggs, ID 83422-4986
Mailing address
PO Box 463
Tetonia, ID 83452-0100
Phone (419) 908-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-6071 | ID | MD | Speech-Language Pathologist |
| SP 3501 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1003230400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 463",
"city": "TETONIA",
"state": "ID",
"postal_code": "834520100",
"telephone_number": "419-908-8668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3872 SOUTH ST",
"city": "DRIGGS",
"state": "ID",
"postal_code": "834224986",
"telephone_number": "419-908-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMCHAK",
"first_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-06",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP 3501",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-6071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Driggs, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.