Kourtney Schaffner, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7485 Southern Vista CT
Star, ID 83669-5874

Phone

(208) 608-4985

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1235869686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7485 SOUTHERN VISTA CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7485 SOUTHERN VISTA CT",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695874",
            "telephone_number": "208-608-4985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAFFNER",
        "first_name": "KOURTNEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda K Rogers-Perkins, LCSW
• Vanessa Joana Rojas-Bautista, R.D.N.
• Krysia Kristine Rousseau, DPT
• Kari-Lyn Ruby, LMT
• Melinda W Sater, PHARM.D.
• Clayton Towner Shaw, P.T.
• Alyssa Shirley, OTR/L
• Kaili Michelle Smalley
• Elizabeth Dockerty Smith, DDS, MSD
• Jennifer Lynn Snow, PTA

• Speech-Language Pathologist in Star, ID
• Providers in Star, 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 Jun 16, 2022; 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.