Sparrow Speech Studio, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPARROW SPEECH STUDIO, LLC

Practice address

875 S Vanguard Way Ste 200C
Meridian, ID 83642-8540

Phone

(208) 340-1642

Fax

(949) 703-7079

NPI assigned

Jul 20, 2024

Last updated

Jul 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Michele Thomas, MSNPI 1770063521

Title

Speech-Language Pathologist

Phone

(208) 340-1642

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sparrow Speech Studio Other name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie M Thomas, CCC-SLP, QOM

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1770063521
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721433600000",
    "number": "1679311898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 S SWAN AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836426693",
            "telephone_number": "208-340-1642",
            "fax_number": "949-703-7079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 S VANGUARD WAY STE 200C",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428540",
            "telephone_number": "208-340-1642",
            "fax_number": "949-703-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW SPEECH STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "208-340-1642",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1 OF SINGLE MEMBER OF LLC",
            "identifier": "1770063521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Speech Studio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James P Souza, MD
• Kendall Kristine Sower, MS
• Melissa Spanton
• Jennifer A Sparks
• Quinncy Dawne Sparks
• Roy Carson Spaulding, M.S., LMFT
• Steven Speakman
• Specialty Clinics of Idaho Inc
• Patricia M Speck, OTR/L
• Aubrey Speer

• Speech-Language Pathologist in Meridian, ID
• Providers in Meridian, 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 Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.