Active NPI
Carisa A Gearhart, MS CCC-SLP
- Speech-Language Pathologist
- Blackfoot, ID
National Provider Identifier
1306045844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1608
- Practice address
- 7 N 600 W
Blackfoot, ID 83221-5533 - Phone
- (208) 684-9812
- NPI assigned
- Jul 14, 2007
- 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-1608 | ID | Primary |
Addresses
Primary practice location
7 N 600 W
Blackfoot, ID 83221-5533
Mailing address
3175 Goldfield Dr
Pocatello, ID 83201-2777
Phone (208) 604-0287
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1608 | ID | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184371200000",
"number": "1306045844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 GOLDFIELD DR",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832012777",
"telephone_number": "208-604-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 N 600 W",
"city": "BLACKFOOT",
"state": "ID",
"postal_code": "832215533",
"telephone_number": "208-684-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEARHART",
"first_name": "CARISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-14",
"last_updated": "2007-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blackfoot, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.