Allison Louise Sandoval, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-3915 Issued in ID

Practice address

316 E 1St St
Middleton, ID 83644-5995

Phone

(208) 654-6161

Fax

(208) 473-7320

NPI assigned

Jun 2, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Foundations Pediatric Therapy PLLC

  • Pediatric Occupational Therapist
  • Middleton, ID
  • NPI 1295339620
  NPD

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1417523200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E 1ST ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445995",
            "telephone_number": "208-654-6161",
            "fax_number": "208-473-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E 1ST ST",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445995",
            "telephone_number": "208-654-6161",
            "fax_number": "208-473-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ALLISON",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-3915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "play2growidaho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "316 E 1st St",
            "city": "Middleton",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836445995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth J Rhee, MD
• Ridleys Family Markets Inc (Ridleys Pharmacy #8442)
• Jessica Lyn Knecht Rose
• Karie Ann Rose, COUI
• Erin Michelle Salyer, LCSW
• Leah Schiffler
• Daniel Seare, LMSW
• Angela Sillito, LPC
• Ashley Clarence Smith, DMD
• Veronica Sotelo, DS

• Speech-Language Pathologist in Middleton, ID
• Providers in Middleton, 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 Jun 2, 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.