Individual provider Active NPI

Hannah Nicole Raschke-Flores

  • Speech-Language Pathologist
  • Pocatello, ID
National Provider Identifier
1073288908
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-5647 Issued in ID
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

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
SLP-5647IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Center for Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Dec 3, 2025 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.

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.

Verify at the official NPI Registry.