Beth Agres
Individual provider Active NPI Speech-Language Pathologist · Pocatello, ID
NPI 1013367580 · NPPES record last updated Dec 22, 2023
Key facts
- NPI
- 1013367580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1001 N 7TH Ave
Pocatello, ID 83201-5761 - Phone
- (208) 239-1490
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocatello Hospital LLC | Past | Accepting new patients | |
| PHS Ambulatory Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1001 N 7TH Ave
Pocatello, ID 83201-5761
Mailing address
9842 W Bighorn Dr
Pocatello, ID 83204-7222
Phone (757) 376-0167
Other providers in Pocatello, ID
- Advanced Healthcare Solutions LLC
- Advanced Healthcare Solutions, LLC
- Advanced Home Health and Hospice
- Advanced Mobility
- Advanced Performance Physical Therapy PLLC
- Trevor Aguiar
- Anita Aguilar
- Misty Dawn Aguilar
- Donelle Airmet
- Elizabeth Aitken
All providers in Pocatello, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.