Sara Jacobsen Hulsizer, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP2859 Issued in ID

Practice address

7211 W Franklin Rd
Boise, ID 83709-0926

Phone

(208) 569-5433

NPI assigned

Sep 25, 2013

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

Other names 1

• Sara Jacobsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kaleidoscope Pediatric Therapy LLC

  • Occupational Therapist
  • Boise, ID
  • NPI 1154693364

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1811323579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090926",
            "telephone_number": "208-569-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W FRANKLIN RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837090926",
            "telephone_number": "208-569-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSIZER",
        "first_name": "SARA",
        "middle_name": "JACOBSEN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP2859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "JACOBSEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rick V Hulbert, DC
• Alise Marie Hulford
• Nicole Hulme, SLP
• Kristin K Hulquist, MPT
• Matthew Hulquist, MD
• Human Supports of Idaho
• Human Supports of Idaho, Inc.
• Human Supports of Idaho, Inc.
• Humangood Idaho (The Terraces of Boise)
• Humble Heart Counseling

• 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 Mar 13, 2017; 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.