Mary Rebeccah Talboy, M.S., CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-4316 Issued in ID

Practice address

7211 W Franklin Rd
Boise, ID 83709-0926

Phone

(208) 375-4200

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kaleidoscope Pediatric Therapy LLC

  • Occupational Therapist
  • Boise, ID
  • NPI 1154693364

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1295299196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S VILLA PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128362",
            "telephone_number": "208-860-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090926",
            "telephone_number": "208-375-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOY",
        "first_name": "MARY",
        "middle_name": "REBECCAH",
        "credential": "M.S., CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-3798",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara C Taggart, M.D.
• Jordan Thomas Tait, CRNA
• Maan Taj Al Deen
• Erika Dawn Talbott, PHD
• Frank Louis Talboy, R.PH.
• David B Talford, PAC
• Michael Garrett Tallman, PSY.D
• Dawn Patricia Tamagni, N.P.
• Tamara Helfer, M.D., PLLC
• Brenden Ray Tamayo

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, 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 Aug 7, 2020; 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.