Individual provider Active NPI

Amber Romriell, M.S. CCC- SLP

  • Speech-Language Pathologist
  • Chubbuck, ID
National Provider Identifier
1194356329
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2956 Issued in ID
Practice address
240 W Burnside Ave Ste D
Chubbuck, ID 83202-4703
Phone
(208) 904-1112
Fax
(866) 818-2688
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2956 ID Primary

Addresses

Primary practice location

240 W Burnside Ave Ste D
Chubbuck, ID 83202-4703

Mailing address

240 W Burnside Ave Ste D
Chubbuck, ID 83202-4703
Phone (208) 904-1112

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-2956IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hannah'S Place LLC Speech-Language Pathologist CurrentSince May 15, 2024 Accepting new patients

Locations

240 W Burnside Ave
Ste D
Pocatello, ID 83202
Phone (208) 904-1112

Organizations & group practices 1

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": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1194356329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W BURNSIDE AVE STE D",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024703",
            "telephone_number": "208-904-1112",
            "fax_number": "866-818-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W BURNSIDE AVE STE D",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832024703",
            "telephone_number": "208-904-1112",
            "fax_number": "866-818-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMRIELL",
        "first_name": "AMBER",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chubbuck, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.