Organization Active NPI

Clear Talk Speech Therapy LLC

  • Speech-Language Pathologist
  • Twin Falls, ID
National Provider Identifier
1184136798
Registry record updated Nov 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1643 Issued in ID
Legal business name
CLEAR TALK SPEECH THERAPY LLC
Practice address
3231 Spring Creek Dr
Twin Falls, ID 83301-8437
Phone
(208) 320-5686
NPI assigned
Nov 4, 2017
Last updated
Nov 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2017

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

Authorized official

Name
Mr. Ezekiel Hans KelseyNPI 1861686032
Title
Speech-Language Pathologist
Phone
(208) 320-5686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-1643 ID Primary

Addresses

Primary practice location

3231 Spring Creek Dr
Twin Falls, ID 83301-8437

Mailing address

3231 Spring Creek Dr
Twin Falls, ID 83301-8437
Phone (208) 320-5686

Other identifiers 1

IdentifierTypeStateIssuer
1861686032MedicaidID

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509753600000",
    "number": "1184136798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3231 SPRING CREEK DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018437",
            "telephone_number": "208-320-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SPRING CREEK DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833018437",
            "telephone_number": "208-320-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR TALK SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-04",
        "last_updated": "2017-11-04",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "HANS",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "208-320-5686",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861686032",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; 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.