Active NPI
Hannah Nicole Raschke-Flores
- Speech-Language Pathologist
- Pocatello, ID
National Provider Identifier
1073288908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-5647
- Practice address
- 7677 W Portneuf Rd
Pocatello, ID 83204-7336 - Phone
- (208) 232-4769
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-5647 | ID | Primary |
Addresses
Primary practice location
7677 W Portneuf Rd
Pocatello, ID 83204-7336
Mailing address
7677 W Portneuf Rd
Pocatello, ID 83204-7336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260219004439 | ID | Practitioner - Qualified Speech Language Pathologist | 3870074610 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7677 W Portneuf Rd
Pocatello, ID 83204-7336
PO Box
Suite 111
Moultrie, GA 31776-0111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-5647 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Center for Pediatric Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7677 W Portneuf Rd
Pocatello, ID 83204
Phone (208) 232-4679
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Pocatello, ID
- NPI 1215397666
ID, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1073288908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7677 W PORTNEUF RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832047336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7677 W PORTNEUF RD",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832047336",
"telephone_number": "208-232-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASCHKE-FLORES",
"first_name": "HANNAH",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-5647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.