Active NPI
Chalyse A Hall, M.S.
- Speech-Language Pathologist
- Pocatello, ID
National Provider Identifier
1073865812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP2363
- Practice address
- 1110 Call Creek Dr
Pocatello, ID 83201-3001 - Phone
- (208) 233-4660
- NPI assigned
- Oct 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | TSLP2363 | ID | Primary |
Addresses
Primary practice location
1110 Call Creek Dr
Pocatello, ID 83201-3001
Mailing address
5014 Elizabeth Ave
Chubbuck, ID 83202-1606
Phone (208) 240-4321
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP2363 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363132800000",
"number": "1073865812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5014 ELIZABETH AVE",
"city": "CHUBBUCK",
"state": "ID",
"postal_code": "832021606",
"telephone_number": "208-240-4321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 CALL CREEK DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832013001",
"telephone_number": "208-233-4660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "CHALYSE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-03",
"last_updated": "2013-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP2363",
"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 Mar 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.