Active NPI
Caitlin Larkin
- Speech-Language Pathologist
- Eagle, ID
National Provider Identifier
1417470253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-3486
- Practice address
- 935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242 - Phone
- (208) 938-4748
- NPI assigned
- Jul 24, 2017
- Last updated
- Jan 15, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-3486 | ID | Primary |
Addresses
Primary practice location
935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-3486 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Neurobehavioral Health, LLC | Speech-Language Pathologist | Past | Accepting new patients |
| Speech Tree Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Northwest Neurobehavioral Health PLLC | Past | Accepting new patients | |
| Boise Speech Tree, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 4
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
-
- Clinical Psychologist
- Boise, ID
- NPI 1518102797
-
- Clinical Social Worker
- Meridian, ID
- NPI 1013223445
Speech-Language Pathologist
-
- 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": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1417470253",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 E WINDING CREEK DR STE 120",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167242",
"telephone_number": "208-938-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARKIN",
"first_name": "CAITLIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-3486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.