Active NPI
Cally R Stone, MS,CCC-SLP
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1184763302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1182
- Practice address
- 1835 Wildwood St
Boise, ID 83713-5146 - Phone
- (208) 898-0988
- Fax
- (208) 898-9022
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1182 | ID | Primary |
Addresses
Primary practice location
1835 Wildwood St
Boise, ID 83713-5146
Mailing address
600 W Calderwood St
Meridian, ID 83642-8133
Phone (208) 353-1117
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP649 | Other | ID | BLUE CROSS PROVIDER NUMBE |
| 000010145950 | Other | ID | BLUE SHIELD PROV NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1182 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1184763302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W CALDERWOOD ST",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428133",
"telephone_number": "208-353-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 WILDWOOD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837135146",
"telephone_number": "208-898-0988",
"fax_number": "208-898-9022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "CALLY",
"middle_name": "R",
"credential": "MS,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBE",
"identifier": "SP649",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD PROV NUMBER",
"identifier": "000010145950",
"state": "ID"
}
],
"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 Jun 9, 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.