Individual provider Active NPI

Sandra Summers Reddish, MS CC SLP

  • Speech-Language Pathologist
  • Idaho Falls, ID
National Provider Identifier
1295265718
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1625 Issued in ID
Practice address
3653 E Spectrum Dr
Idaho Falls, ID 83401-5041
Phone
(208) 206-9613
NPI assigned
Jun 18, 2017
Last updated
Jun 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 SLP-1625 ID Primary

Addresses

Primary practice location

3653 E Spectrum Dr
Idaho Falls, ID 83401-5041

Mailing address

3653 E Spectrum Dr
Idaho Falls, ID 83401-5041
Phone (208) 206-9613

Other practice location 1

3525 Merlin Dr
Idaho Falls, ID 83404-4952
Phone (208) 206-9613

Other names 1

  • Sandy Summers Other name

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
Credentials
Master of Science

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.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1295265718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 E SPECTRUM DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015041",
            "telephone_number": "208-206-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 E SPECTRUM DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015041",
            "telephone_number": "208-206-9613"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Merlin Dr",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834044952",
            "country_code": "US",
            "telephone_number": "208-206-9613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDISH",
        "first_name": "SANDRA",
        "middle_name": "SUMMERS",
        "name_prefix": "Mrs.",
        "credential": "MS CC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "SUMMERS",
            "credential": "MS CCC SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 2026; 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.