NPIMap

Organization Active NPI

Speech Blossoms LLC

  • Speech-Language Pathologist
  • Pocatello, ID
National Provider Identifier
1285125203
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1548 Issued in ID
Legal business name
SPEECH BLOSSOMS LLC
Practice address
1448 E Center St Ste G
Pocatello, ID 83201-4132
Phone
(208) 547-7145
Fax
(844) 671-7145
NPI assigned
May 24, 2018
Last updated
Dec 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Patricia Ann Taylor, MS CCC-SLPNPI 1235584939
Title
Owner / Provider
Phone
(208) 547-7145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Pediatric Occupational Therapist 225XP0200X
Speech-Language Pathologist 235Z00000X SLP-1548 ID Primary
Hearing and Speech Clinic/Center 261QH0700X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1448 E Center St Ste G
Pocatello, ID 83201-4132

Mailing address

1448 E Center St Ste I
Pocatello, ID 83201-4132
Phone (208) 547-7145

Other identifiers 1

IdentifierTypeStateIssuer
1285125203MedicaidID

National Provider Directory

National Provider Directory

Locations

1448 E Center St
Ste G
Pocatello, ID 83201
Phone (208) 547-7145

1448 E Center St
Ste I
Pocatello, ID 83201
Phone (208) 547-7145

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1285125203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST STE I",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014132",
            "telephone_number": "208-547-7145",
            "fax_number": "844-671-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST STE G",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014132",
            "telephone_number": "208-547-7145",
            "fax_number": "844-671-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BLOSSOMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "208-547-7145",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1548",
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285125203",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.