Active NPI
Vicki Norton Hulet, MS-CCCSLP
- Speech-Language Pathologist
- Idaho Falls, ID
National Provider Identifier
1255440939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1461
- Practice address
- 3446 Merlin
Idaho Falls, ID 83404 - Phone
- (208) 523-3662
- Fax
- (208) 523-6002
- NPI assigned
- Aug 29, 2006
- Last updated
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
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-1461 | ID | Primary |
Addresses
Primary practice location
3446 Merlin
Idaho Falls, ID 83404
Mailing address
559 Masters Dr
Idaho Falls, ID 83401-3118
Phone (208) 523-6199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP-1461 | Other | ID | IDAHO STATE LICENSE |
| SPH54 | Other | ID | BLUE CROSS |
| 6528800 | Medicaid | ID |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1461 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celebration Speech, Inc | Speech-Language Pathologist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Idaho Falls, ID
- NPI 1376795666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1255440939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "559 MASTERS DR",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834013118",
"telephone_number": "208-523-6199",
"fax_number": "208-523-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3446 MERLIN",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "83404",
"telephone_number": "208-523-3662",
"fax_number": "208-523-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULET",
"first_name": "VICKI",
"middle_name": "NORTON",
"credential": "MS-CCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDAHO STATE LICENSE",
"identifier": "SLP-1461",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SPH54",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6528800",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.