Organization Active NPI

Spa Communication, LLC

  • Speech-Language Pathologist
  • Middleton, ID
National Provider Identifier
1487077046
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1124 Issued in ID
Legal business name
SPA COMMUNICATION, LLC
Practice address
23 E 1St St N
Middleton, ID 83644-5867
Phone
(208) 585-6678
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Mrs. Kriste Ann Barnes-Perrin, SLP-CCCNPI 1497087951
Title
Speech Pathologist
Phone
(208) 631-0585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP-1124 ID Primary

Addresses

Primary practice location

23 E 1St St N
Middleton, ID 83644-5867

Mailing address

23 E 1St St N
Middleton, ID 83644-5867
Phone (208) 585-6678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1487077046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 E 1ST ST N",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445867",
            "telephone_number": "208-585-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 E 1ST ST N",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445867",
            "telephone_number": "208-585-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA COMMUNICATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "BARNES-PERRIN",
        "authorized_official_first_name": "KRISTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "208-631-0585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.