Stephanie M Thomas, CCC-SLP, QOM

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

13075 W Persimmon LN Ste 120
Boise, ID 83713-1986

Phone

(208) 376-3591

Fax

(208) 376-3594

NPI assigned

Aug 20, 2018

Last updated

May 7, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sparrow Speech Studio, LLC

  • Speech-Language Pathologist
  • Meridian, ID
  • NPI 1679311898
  Medicare reassignment NPD Authorized official
• Chatterton Speech Therapy, LLC

  dba Center for Orofacial Myology

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1932501558
  Medicare reassignment NPD

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1770063521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10979 W TIDEWATER CT",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131138",
            "telephone_number": "208-340-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13075 W PERSIMMON LN STE 120",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837131986",
            "telephone_number": "208-376-3591",
            "fax_number": "208-376-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP, QOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Thomas, PA-C
• Scott D Thomas, M.D.
• Seth Alden Thomas, PHARMD
• Shelley Thomas, MPT
• Staci Jae Thomas, WHNP-BC
• Terrell Lee Thomas
• Tosha Thomas
• Vanessa Marie Thomas, PT, DPT
• Aaron L Thomason, NP
• Daphne Thompsen, MS, CCC-SLP

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, 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 May 7, 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.