Katie Gray, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8461379 Issued in ID

Practice address

935 E Winding Creek Drive
Suite 120
Eagle, ID 83616

Phone

(208) 938-4748

Fax

(208) 938-1710

NPI assigned

Oct 2, 2024

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boise Speech Tree, LLC

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1689168445
  NPD
• Speech Tree Inc

  • Speech-Language Pathologist
  • Eagle, ID
  • NPI 1316087323
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1245058890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DRIVE",
            "address_2": "SUITE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DRIVE",
            "address_2": "SUITE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KATIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "8461379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Grable, DC
• Sarah Jo Graham, MPT
• Grange Ophthalmology, PLLC (Grange Eye Care)
• Grange Surgery Center PLLC
• Alan James Gray, MD
• Sariah Gray
• Alexandria Cavaretta Green, APRN-CNP
• Kari Green, PT
• Ella Greenberg
• Emily Rae Greer

• Speech-Language Pathologist in Eagle, ID
• Providers in Eagle, 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 Oct 2, 2024; 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.