NPIMap

Organization Active NPI

Talk Blossom LLC

  • Speech-Language Pathologist
  • Eagle, ID
National Provider Identifier
1306363502
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2915 Issued in ID
Legal business name
TALK BLOSSOM LLC
Practice address
5355 W Durning Dr
Eagle, ID 83616-5508
Phone
(208) 515-0578
NPI assigned
Aug 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sarah Mae Landry, MS CCC-SLPNPI 1518401561
Title
Owner/ SLP
Phone
(208) 515-0578

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP-2915 ID Primary

Addresses

Primary practice location

5355 W Durning Dr
Eagle, ID 83616-5508

Mailing address

5355 W Durning Dr
Eagle, ID 83616-5508
Phone (208) 515-0578

National Provider Directory

National Provider Directory

Locations

1550 N Crestmont Dr
Meridian, ID 83642
Phone (208) 288-4200

1550 N Crestmont Dr
Ste F
Meridian, ID 83642
Phone (208) 606-0442

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306363502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 W DURNING DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165508",
            "telephone_number": "208-515-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 W DURNING DR",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836165508",
            "telephone_number": "208-515-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALK BLOSSOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER/ SLP",
        "authorized_official_telephone_number": "208-515-0578",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.