Organization Active NPI

Honeysuckle Speech and Wellness LLC

  • Speech-Language Pathologist
  • Coeur D Alene, ID
National Provider Identifier
1356112718
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HONEYSUCKLE SPEECH AND WELLNESS LLC
Practice address
1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682
Phone
(208) 419-3575
NPI assigned
Jan 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Laiken Gallis, M.S. CCC SLPNPI 1861048282
Title
SLP
Phone
(208) 419-3575

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 Primary

Addresses

Primary practice location

1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682

Mailing address

1250 W Ironwood Dr Ste 241
Coeur D Alene, ID 83814-2682
Phone (208) 419-3575

National Provider Directory

National Provider Directory

Locations

1250 W Ironwood Dr
Ste 241
Coeur D Alene, ID 83814
Phone (208) 419-3575

Practitioners & affiliated clinicians

Practitioners 3

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": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1356112718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 241",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-419-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W IRONWOOD DR STE 241",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142682",
            "telephone_number": "208-419-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONEYSUCKLE SPEECH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "GALLIS",
        "authorized_official_first_name": "LAIKEN",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "208-419-3575",
        "authorized_official_credential": "M.S. CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.