Active NPI
Lilli Homer, SLP
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1598094203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1970
- Practice address
- 200 S Regina Rd
Boise, ID 83716-3470 - Phone
- (208) 841-5462
- NPI assigned
- Dec 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1970 | ID | Primary |
Addresses
Primary practice location
200 S Regina Rd
Boise, ID 83716-3470
Mailing address
200 S Regina Rd
Boise, ID 83716-3470
Phone (208) 841-5462
Other practice location 1
1855 E Southern Ave Ste 107
unit 1
Mesa, AZ 85204-5227
Phone (208) 841-5462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 S Regina Rd
Boise, ID 83716-3470
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech 2 You PLLC | Current | Accepting new patients |
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.
-
- Hearing and Speech Clinic/Center
- Boise, ID
- NPI 1346880705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1598094203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S REGINA RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837163470",
"telephone_number": "208-841-5462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S REGINA RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837163470",
"telephone_number": "208-841-5462"
}
],
"practiceLocations": [
{
"address_1": "1855 E Southern Ave Ste 107",
"address_2": "unit 1",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852045227",
"country_code": "US",
"telephone_number": "208-841-5462",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOMER",
"first_name": "LILLI",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1970",
"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 Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.