Active NPI
Mary Celeste Howard, M.S.
- Speech-Language Pathologist
- Eagle, ID
National Provider Identifier
1396993077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1858
- Practice address
- 935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240 - Phone
- (208) 938-4748
- Fax
- (208) 938-1710
- NPI assigned
- Sep 5, 2008
- Last updated
- Jul 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1858 | ID | Primary |
| Speech-Language Pathologist | 235Z00000X | TSLP-1740 | ID |
Addresses
Primary practice location
935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240
Mailing address
935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7240
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1858 | ID | MD | Speech-Language Pathologist |
| TSLP-1740 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Tree Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Boise Speech Tree, LLC | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Boise, ID
- NPI 1689168445
-
- Speech-Language Pathologist
- Eagle, ID
- NPI 1316087323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1396993077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 E WINDING CREEK DR",
"address_2": "SUITE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167240",
"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": "935 E WINDING CREEK DR",
"address_2": "SUITE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167240",
"telephone_number": "208-938-4748",
"fax_number": "208-938-1710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "MARY",
"middle_name": "CELESTE",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-05",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1858",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "TSLP-1740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
- Lyman Holyoak, PHARMD
- Home Health Services of Idaho LLC (Interim HealthCare of Southwest Idaho)
- Lucas Jay Hooker, MS
- Heidi Hopkins, ATC
- Lynda L Hopkins, LMT, ESTHETICIAN,LPN
- Karen Angela Howell, P.T.
- Lauren Marie Huber, O.D.
- Ryan Douglas Huber, O.D.
- Brian Werner Huck, MSW, LCSW
- Huckleberry Home Health, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.