Individual provider Active NPI

Abigail Klimkoski, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1124773312
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-5211 Issued in ID
Practice address
219 N 27TH St Ste 21
Boise, ID 83702-4746
Phone
(208) 244-0607
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 115000 TX
Speech-Language Pathologist 235Z00000X SLP-5211 ID Primary

Addresses

Primary practice location

219 N 27TH St Ste 21
Boise, ID 83702-4746

Mailing address

219 N 27TH St Ste 21
Boise, ID 83702-4746
Phone (208) 244-0607

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

LicenseStateTypeSpecialty
115000TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Speech Tree, LLC Speech-Language Pathologist CurrentSince Jan 1, 2023 Accepting new patients
Speech Tree Inc Speech-Language Pathologist CurrentSince Feb 1, 2022 Accepting new patients
Gem State Speech Inc CurrentSince May 18, 2025 Accepting new patients

Locations

219 N 27th St
Ste 21
Boise, ID 83702
Phone (208) 244-0607

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

Organizations & group practices 3

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": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1124773312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N 27TH ST STE 21",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024746",
            "telephone_number": "208-244-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N 27TH ST STE 21",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024746",
            "telephone_number": "208-244-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMKOSKI",
        "first_name": "ABIGAIL",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-5211",
            "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 Dec 1, 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.