Audrey Quenzer, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-4717 Issued in ID

Practice address

207 W Georgia Ave Ste 170
Nampa, ID 83686-3024

Phone

(208) 467-1069

Fax

(208) 467-1462

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1003427303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GEORGIA AVE STE 170",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863024",
            "telephone_number": "208-467-1069",
            "fax_number": "208-467-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GEORGIA AVE STE 170",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836863024",
            "telephone_number": "208-467-1069",
            "fax_number": "208-467-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENZER",
        "first_name": "AUDREY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "audreyqu@riseservicesinc.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "207 W Georgia Ave Ste 170",
            "city": "Nampa",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836863024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Nampa, ID
• Providers in Nampa, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.