Marla K Ambrose, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-1940 Issued in ID

Practice address

1812 N Midland Blvd
Nampa, ID 83651-1747

Phone

(208) 442-2525

Fax

(208) 442-2505

NPI assigned

Nov 13, 2008

Last updated

Jun 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Marla Maurice-Ambrose Former name

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chatterton Speech Therapy LLCGroup PAC ID 9234350182, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chatterton Speech Therapy, LLC

  dba Center for Orofacial Myology

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1932501558
  Medicare reassignment Care Compare group NPD
• Idaho Therapy Source

  • Occupational Therapist
  • Nampa, ID
  • NPI 1235461732
  NPD (past)
• Children's Therapy of Woodinville

  dba CTW

  • Pediatric Occupational Therapist
  • Bothell, WA
  • NPI 1558440198

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1689828907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7052 S COLWOOD PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837097373",
            "telephone_number": "208-412-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N MIDLAND BLVD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836511747",
            "telephone_number": "208-442-2525",
            "fax_number": "208-442-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "MARLA",
        "middle_name": "K",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-1771",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLA",
            "last_name": "MAURICE-AMBROSE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eberegbulam Amaechi
• Amanda Aman, MD
• Nizeyimana Amani
• Amare Group LLC
• Ambitions of Idaho, Inc
• Anchor Counseling
• Benjamin Andersen, DNP, FNP
• Adela Anderson, LPC
• Brennan Anderson
• Deanna Rachel Anderson

• Speech-Language Pathologist in Nampa, ID
• Providers in Nampa, 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 Jun 1, 2011; 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.

Verify at the official NPI Registry.