Crystal Felushko

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-5802 Issued in ID

Practice address

3034 S Chartwell GDN
Ammon, ID 83406-4934

Phone

(912) 272-6281

NPI assigned

Aug 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Achieve Therapy and Learning Services, LLCGroup PAC ID 7113382110, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Achieve Therapy and Learning Services, LLC

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1205574399
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1093545907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 S CHARTWELL GDN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064934",
            "telephone_number": "912-272-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 S CHARTWELL GDN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064934",
            "telephone_number": "912-272-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELUSHKO",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Daniel Esplin, PMHNP-DNP-BC
• Ryan Jay Estus, DPT
• Tyson Falls
• Shawnee Farnsworth, PHARMD
• Melissa Faw, BS
• Deneicen Fernandez
• Fit Technologies LLC
• Fit Technologies PLLC
• William Dorsel Fitch
• Mazie Forero, BS

• Speech-Language Pathologist in Ammon, ID
• Providers in Ammon, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.