Individual provider Active NPI

Janet Houston Casabonne, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Eagle, ID
National Provider Identifier
1073807368
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1316 Issued in ID
Practice address
935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240
Phone
(208) 938-4748
Fax
(208) 938-1710
NPI assigned
Jun 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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-1316 ID Primary

Addresses

Primary practice location

935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240

Mailing address

935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240
Phone (208) 938-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-1316IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Tree Inc Speech-Language Pathologist PastSince Jan 22, 2015 Accepting new patients
Boise Speech Tree, LLC Speech-Language Pathologist PastSince Jul 6, 2022 Accepting new patients

Organizations & group practices 2

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1073807368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DR",
            "address_2": "SUITE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167240",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DR",
            "address_2": "SUITE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167240",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASABONNE",
        "first_name": "JANET",
        "middle_name": "HOUSTON",
        "name_prefix": "Mrs.",
        "credential": "M.S.,CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.