Organization Active NPI

Early Words Speech & Language Corp

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1528429263
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2606 Issued in ID
Legal business name
EARLY WORDS SPEECH & LANGUAGE CORP
Practice address
2516 W Idaho St
Boise, ID 83702-4840
Phone
(208) 869-7002
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Anna Qualls Robertson
Title
Ceo
Phone
(208) 869-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SLP-2606 ID Primary

Addresses

Primary practice location

2516 W Idaho St
Boise, ID 83702-4840

Mailing address

2516 W Idaho St
Boise, ID 83702-4840
Phone (208) 869-7002

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": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1528429263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024840",
            "telephone_number": "208-869-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024840",
            "telephone_number": "208-869-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY WORDS SPEECH & LANGUAGE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "QUALLS ROBERTSON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-869-7002"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.