Teresa Dooley Cloud, EDS, CCC/SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1550 Issued in ID

Practice address

1050 Fox Acres Rd
Hailey, ID 83333-8456

Phone

(208) 720-9459

NPI assigned

Jun 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Tracy Cloud Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1487814604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400787",
            "telephone_number": "208-450-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FOX ACRES RD",
            "city": "HAILEY",
            "state": "ID",
            "postal_code": "833338456",
            "telephone_number": "208-720-9459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 787",
            "address_purpose": "LOCATION",
            "city": "Ketchum",
            "state": "ID",
            "postal_code": "833400787",
            "country_code": "US",
            "telephone_number": "208-720-9459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY CLOUD",
        "first_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "EDS, CCC/SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CLOUD",
            "prefix": "MS.",
            "credential": "EDS, CCC/SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dan Parke PC
• Thomas Deantonio, PH.D.
• Stephanie A Dennis Blair, LPC
• Kathleen Diepenbrock, LPC
• Linh Doan
• Jordyn Dooley, LPC-INTERN
• Christopher Robert Doxey
• Amy C Drumm, MD
• Amber R Dunford, DC
• Heidi Doreen Eliason, RPH

• Speech-Language Pathologist in Hailey, ID
• Providers in Hailey, 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 17, 2024; 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.