Individual provider Active NPI

Cami Lorene Cano

  • Speech-Language Pathologist
  • Ontario, OR
National Provider Identifier
1386318459
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1106 SW 4TH Ave
Ontario, OR 97914-2130
Phone
(541) 216-5115
Fax
(541) 216-5116
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ID Primary

Addresses

Primary practice location

1106 SW 4TH Ave
Ontario, OR 97914-2130

Mailing address

935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242
Phone (208) 938-4748

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

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Tree Inc Speech-Language Pathologist CurrentSince Aug 8, 2021 Accepting new patients
Boise Speech Tree, LLC Speech-Language Pathologist CurrentSince Jul 6, 2022 Accepting new patients

Locations

935 E Winding Creek Dr
Ste 120
Eagle, ID 83616
Phone (208) 938-4748

1106 SW 4th Ave
Ontario, OR 97914
Phone (541) 216-5115

Organizations & group practices 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1386318459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DR STE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167242",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 SW 4TH AVE",
            "city": "ONTARIO",
            "state": "OR",
            "postal_code": "979142130",
            "telephone_number": "541-216-5115",
            "fax_number": "541-216-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "CAMI",
        "middle_name": "LORENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.