Individual provider Active NPI

Natalie Harris

  • Speech-Language Pathologist
  • Twin Falls, ID
National Provider Identifier
1235568908
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP-2443 Issued in ID
Practice address
254 River Vista PL
Twin Falls, ID 83301-3006
Phone
(208) 734-7333
Fax
(208) 734-8350
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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 TSLP-2443 ID Primary

Addresses

Primary practice location

254 River Vista PL
Twin Falls, ID 83301-3006

Mailing address

254 River Vista PL
Twin Falls, ID 83301-3006
Phone (208) 734-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140605001869 ID Practitioner - Qualified Speech Language Pathologist 6406070788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP-2443IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Therapy Source LLC CurrentSince Jun 1, 2014 Accepting new patients
Primary Therapy Source, LLC Speech-Language Pathologist CurrentSince Jun 1, 2014 Accepting new patients

Locations

254 River Vista Pl
Twin Falls, ID 83301
Phone (208) 734-7333

Organizations & group practices 2

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": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1235568908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013006",
            "telephone_number": "208-734-7333",
            "fax_number": "208-734-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 RIVER VISTA PL",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013006",
            "telephone_number": "208-734-7333",
            "fax_number": "208-734-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-2443",
            "primary": true
        }
    ],
    "identifiers": [],
    "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, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.