Tenille Rudeen, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7771272 Issued in ID

Practice address

611 Wilson Ave Ste 3
Pocatello, ID 83201-5046

Phone

(208) 242-7377

Fax

(208) 417-0956

NPI assigned

Sep 5, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casey'S Specialty Speech, LLC

  • Speech-Language Pathologist
  • Pocatello, ID
  • NPI 1528624673
  NPD

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1033099585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13413 N MOONGLOW LN",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832025122",
            "telephone_number": "208-242-7377",
            "fax_number": "208-417-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE STE 3",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-242-7377",
            "fax_number": "208-417-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEEN",
        "first_name": "TENILLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "7771272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Jill Roth, FNP-C
• Kyle A Roth, NP
• Elizabeth Lassen Rowden, MS, RDN, LD
• Nathan T. Rowe, NP-C
• RSM PA PLLC
• Rufus O. Van Dyke, D.D.S., M.CL.D
• Jennifer Ruiz
• Richard Willis Runyan, M.D.
• Nadilyn Michelle Rushton, OTL-2777
• Madison Russell

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, 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 5, 2025; 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.