Active NPI
Taylor Nicole Wiest, M.S., SLP-CCC
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1083133698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-3720
- Practice address
- 6855 W Fairview Ave
Boise, ID 83704-8046 - Phone
- (208) 323-8888
- NPI assigned
- Sep 14, 2017
- Last updated
- Jan 14, 2019
- 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-3720 | ID | Primary |
Addresses
Primary practice location
6855 W Fairview Ave
Boise, ID 83704-8046
Mailing address
9133 W Lorinda Dr
Boise, ID 83704-3268
Phone (208) 322-6804
Other practice location 1
1720 N Westgate Dr Ste D
Boise, ID 83704-7164
Phone (208) 334-0918
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-3720 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1083133698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9133 W LORINDA DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837043268",
"telephone_number": "208-322-6804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 W FAIRVIEW AVE",
"city": "BOISE",
"state": "ID",
"postal_code": "837048046",
"telephone_number": "208-323-8888"
}
],
"practiceLocations": [
{
"address_1": "1720 N Westgate Dr Ste D",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837047164",
"country_code": "US",
"telephone_number": "208-334-0918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEST",
"first_name": "TAYLOR",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "M.S., SLP-CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-3720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.