NPIMap

Organization Active NPI

Small Talk Speech & Language Services

Doing business as Small Talk Pediatric Therapy

  • Speech-Language Pathologist
  • Meridian, ID
National Provider Identifier
1790200202
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-2299 Issued in ID
Legal business name
SMALL TALK SPEECH & LANGUAGE SERVICES
Doing business as
Small Talk Pediatric Therapy
Practice address
1508 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-6135
Phone
(208) 996-0552
Fax
(208) 496-9281
NPI assigned
Aug 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Karen Hibbs
Title
Owner
Phone
(208) 996-0552

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X SLP-2299 ID Primary

Addresses

Primary practice location

1508 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-6135

Mailing address

1508 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-6135
Phone (208) 996-0552

Other identifiers 1

IdentifierTypeStateIssuer
1558657866MedicaidID

Other names 1

  • Small Talk Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790200202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466135",
            "telephone_number": "208-996-0552",
            "fax_number": "208-496-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466135",
            "telephone_number": "208-996-0552",
            "fax_number": "208-496-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK SPEECH & LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HIBBS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-996-0552"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-2299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558657866",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Talk Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.