Speech Pathology Associates, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SLP-2122 Issued in ID

Legal business name

SPEECH PATHOLOGY ASSOCIATES, INC

Practice address

3715 Woodking Dr
Idaho Falls, ID 83404-4720

Phone

(208) 529-2255

NPI assigned

Aug 23, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Padron, M.S., CCC-SLP

Title

Ceo

Phone

(208) 221-1094

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Abel, MS, CCC-SLP

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1730589532
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1689954588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 AMY LN",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064542",
            "telephone_number": "208-221-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WOODKING DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044720",
            "telephone_number": "208-529-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PADRON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-221-1094",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "ID",
            "license": "SLP-2122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Idaho Surgical Associates, PLLC
• Boyd K Southwick, DO
• James Glen Southwick, PHARM D.
• Kristi Southwick, LCPC
• Michael Ray Spaulding, DPT, PT
• Sarah Kathrine Speer
• Shawn D Speirs, D.O.
• David E Spencer, LCSW
• Kristie Spencer, LMSW
• Cory Spicer, M.D.

• Hearing and Speech Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Hearing and Speech Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.