Lily Caywood, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-2300 Issued in ID

Practice address

9700 W State St
Star, ID 83669-5766

Phone

(208) 830-1092

Fax

(208) 545-7505

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• New Heights Speech & Language Therapy, LLC

  • Speech-Language Pathologist
  • Star, ID
  • NPI 1649628207
  NPD Authorized official
• Boise Speech Tree, LLC

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1689168445
  NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1659629244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "208-830-1092",
            "fax_number": "208-545-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 W STATE ST",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695766",
            "telephone_number": "208-830-1092",
            "fax_number": "208-545-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAYWOOD",
        "first_name": "LILY",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-2300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Bolen
• Kari Lynne Bouffard-Cheng
• Katherine Gail Buracchio, APRN, PMHNP-BC
• Debra Dee Cammann
• Paige Elizabeth Casey, M.S
• Dakotah Antony Cole, LCSW
• James Everett Collings
• Crista Conboy, BCBA
• Stephen Rodney Crane, D.C.
• Lindsey E. Decloss, M.S.P.T.

• Speech-Language Pathologist in Star, ID
• Providers in Star, 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 Sep 21, 2021; 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.