Jeremy Daniel Chatterton, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-3273 Issued in ID

Practice address

3483 E 3195 N
Kimberly, ID 83341-5353

Phone

(208) 751-5308

NPI assigned

Aug 22, 2017

Last updated

May 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chattertown Therapy

  • Speech-Language Pathologist
  • Kimberly, ID
  • NPI 1861183394
  NPD Authorized official

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1134645013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 E 3195 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415353",
            "telephone_number": "208-751-5308",
            "fax_number": "208-544-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 E 3195 N",
            "city": "KIMBERLY",
            "state": "ID",
            "postal_code": "833415353",
            "telephone_number": "208-751-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERTON",
        "first_name": "JEREMY",
        "middle_name": "DANIEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-3273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF OCCUPATION AND PROFESSIONAL LICENSES",
            "identifier": "SLP-3572",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVISIONAL LICENSE",
            "identifier": "TSLP-3273",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bumble Bee Pediatric Therapy
• Elsa Carrow, M.A. EDUCATION
• Charolais Care II, Inc (Valley South Hospital for Geriatric Psychiatry)
• Charolais Care II, Inc (Oak Creek Rehabilitation Center of Kimberly)
• Charolais Care VIII, Inc (Mountain View Center for Geriatric Psychiatry)
• Chattertown Therapy
• Amazia Rose Espinosa
• Family Health Services Corporation
• Family Health Services Corporation (Family Heath Services - Kimberly Community Pharmacy)
• Family Health Services Corporation

• Speech-Language Pathologist in Kimberly, ID
• Providers in Kimberly, 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 May 19, 2023; 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.