Individual provider Active NPI

Becky A. Pierce, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Pocatello, ID
National Provider Identifier
1447309224
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1359 Issued in ID
Practice address
1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072
Phone
(208) 233-4660
Fax
(208) 233-4262
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SLP-1359 ID Primary

Addresses

Primary practice location

1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072

Mailing address

2461 Harold Dr
Idaho Falls, ID 83402-3833
Phone (208) 520-8991

Other identifiers 2

IdentifierTypeStateIssuer
12005224OtherIDASHA NUMBER
000010156485OtherIDREGENCE BLUD SHIELD OF ID

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-1359IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Behavioral Health Center CurrentSince Dec 3, 2015 Accepting new patients

Locations

1110 Call Creek Dr
Ste 7
Pocatello, ID 83201
Phone (208) 233-4660

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447309224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 HAROLD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023833",
            "telephone_number": "208-520-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CALL CREEK DR STE 7",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013072",
            "telephone_number": "208-233-4660",
            "fax_number": "208-233-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "BECKY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA NUMBER",
            "identifier": "12005224",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUD SHIELD OF ID",
            "identifier": "000010156485",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.