Active NPI
Allison Tupper, SLP
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1649468315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10577
- Practice address
- 890 N Cole Rd
Suite a
Boise, ID 83704-8638 - Phone
- (208) 323-8888
- Fax
- (208) 323-8889
- NPI assigned
- Oct 9, 2007
- Last updated
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1493 | ID | |
| Speech-Language Pathologist | 235Z00000X | 10577 | MN | Primary |
Addresses
Primary practice location
890 N Cole Rd
Suite a
Boise, ID 83704-8638
Mailing address
890 N Cole Rd
Suite a
Boise, ID 83704-8638
Phone (208) 323-8888
Other names 1
- Allison Krivarchka
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10577 | MN | MD | Dentist |
| SLP-1493 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Therapy Place, Inc. | Speech-Language Pathologist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Professional Therapy Services, Inc.
- Occupational Therapist
- Boise, ID
- NPI 1649281577
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1649468315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 N COLE RD",
"address_2": "SUITE A",
"city": "BOISE",
"state": "ID",
"postal_code": "837048638",
"telephone_number": "208-323-8888",
"fax_number": "208-323-8889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 N COLE RD",
"address_2": "SUITE A",
"city": "BOISE",
"state": "ID",
"postal_code": "837048638",
"telephone_number": "208-323-8888",
"fax_number": "208-323-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUPPER",
"first_name": "ALLISON",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1493",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "10577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "KRIVARCHKA",
"credential": "MS CCC, SLP",
"code": "1",
"type": "Former Name"
}
]
}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 Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.