Idaho Face & Voice, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

IDAHO FACE & VOICE, LLC

Practice address

4696 W Overland Rd Ste 228
Boise, ID 83705-2864

Phone

(208) 500-1728

Fax

(208) 908-0501

NPI assigned

May 30, 2020

Organization subpart

No

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

Authorized official

Name

Heather L. Robinson, MA, CCC-SLPNPI 1417175589

Title

Owner, Speech-Language Pathologist

Phone

(208) 500-1728

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Heather L Robinson, SLP

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1417175589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590796800000",
    "number": "1356965941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 228",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052864",
            "telephone_number": "208-500-1728",
            "fax_number": "208-908-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4696 W OVERLAND RD STE 228",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052864",
            "telephone_number": "208-500-1728",
            "fax_number": "208-908-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDAHO FACE & VOICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "208-500-1728",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IDTPID015350",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Boise, ID
• Providers in Boise, 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 May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.