Individual provider Active NPI

Katie Elizabeth Williams, S.L.P

  • Speech-Language Pathologist
  • Eagle, ID
National Provider Identifier
1356689756
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-4230 Issued in ID
Practice address
533 E Riverside Dr Ste 102
Eagle, ID 83616-6621
Phone
(208) 992-5290
NPI assigned
Jan 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8125 CA
Speech-Language Pathologist 235Z00000X SP-4230 ID
Speech-Language Pathologist 235Z00000X SLP-4230 ID Primary

Addresses

Primary practice location

533 E Riverside Dr Ste 102
Eagle, ID 83616-6621

Mailing address

533 E Riverside Dr Ste 102
Eagle, ID 83616-6621
Phone (714) 616-9572

Other names 1

  • Ms. Katie Elizabeth Zingler Former name

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

State licenses

LicenseStateTypeSpecialty
SLP-4230IDMDSpeech-Language Pathologist
SP-4230IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouted Therapy Speech-Language Pathologist CurrentSince Mar 26, 2023 Accepting new patients

Locations

533 E Riverside Dr
Ste 102
Eagle, ID 83616
Phone (208) 992-5290

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1356689756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 E RIVERSIDE DR STE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166621",
            "telephone_number": "714-616-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 E RIVERSIDE DR STE 102",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166621",
            "telephone_number": "208-992-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "S.L.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "8125",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SP-4230",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ZINGLER",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 15, 2023; 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.