Organization Active NPI

Bragg & Bloom Therapy, LLC

  • Speech-Language Pathologist
  • Nampa, ID
National Provider Identifier
1093600306
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
BRAGG & BLOOM THERAPY, LLC
Practice address
1759 E Eddington St
Nampa, ID 83686-4867
Phone
(503) 351-3217
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Hannah Bragg, M.S. CCC-SLPNPI 1003425067
Title
Owner/Speech-Language Pathologist
Phone
(503) 351-3217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

1759 E Eddington St
Nampa, ID 83686-4867

Mailing address

1759 E Eddington St
Nampa, ID 83686-4867

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1093600306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 E EDDINGTON ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836864867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 E EDDINGTON ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836864867",
            "telephone_number": "503-351-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAGG & BLOOM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "BRAGG",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "503-351-3217",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.