Jessica Shotwell, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-5787 Issued in ID

Practice address

427 N 4TH Ave
Pocatello, ID 83201-6341

Phone

(208) 271-6389

Fax

(208) 646-4415

NPI assigned

Apr 3, 2023

Last updated

Jan 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Big Steps Speech Therapy, LLC

  • Speech-Language Pathologist
  • Pocatello, ID
  • NPI 1073204129
  NPD Authorized official
• Chatterton Speech Therapy, LLC

  dba Center for Orofacial Myology

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1932501558
  Medicare reassignment
• Hannah's Place LLC

  • Pediatric Physical Therapist
  • Chubbuck, ID
  • NPI 1245653468

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1326743196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S 14TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014139",
            "telephone_number": "208-271-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 N 4TH AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016341",
            "telephone_number": "208-271-6389",
            "fax_number": "208-646-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTWELL",
        "first_name": "JESSICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-5787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Arthur Sherman, MD
• Scott Shi, PA
• Christopher C Shields, MD
• Skyler Shane Shippen, M.D.
• Jo Anna Shotiveyaratana, MA, LPC
• Alex Michael Shreiber, PHARMD
• Shudl LLC
• Tyrone Richard Shuman, LCSW
• Chad Glen Sibbett, PA
• Randy C Sidwell, PT, MS, ATC

• Speech-Language Pathologist in Pocatello, ID
• Providers in Pocatello, 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 Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.