Active NPI
Patricia Ann Beal, CCC-SLP
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1720143712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1192
- Practice address
- 890 N Cole Rd
Suite a
Boise, ID 83704-8638 - Phone
- (208) 323-8888
- Fax
- (208) 323-8889
- NPI assigned
- Dec 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1192 | ID | Primary |
Addresses
Primary practice location
890 N Cole Rd
Suite a
Boise, ID 83704-8638
Mailing address
12861 N Town Ridge Rd
Boise, ID 83714-9437
Phone (208) 229-0303
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP04 | Other | ID | BLUE CROSS INSURANCE |
| 09126064 | Other | ASHA | |
| 000010157676 | Other | ID | REGENCE BLUESHIELD OF ID |
Other names 1
- Patricia Ann Slater
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1192 | 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 and National Provider Directory roles.
-
- 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": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720143712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12861 N TOWN RIDGE RD",
"city": "BOISE",
"state": "ID",
"postal_code": "837149437",
"telephone_number": "208-229-0303"
},
{
"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": "BEAL",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS INSURANCE",
"identifier": "SLP04",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "09126064",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD OF ID",
"identifier": "000010157676",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "SLATER",
"middle_name": "ANN",
"credential": "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.