Kathleen Marie Sanna, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1427 Issued in ID

Practice address

5372 W Waterwheel Dr
Boise, ID 83703-3132

Phone

(208) 407-1877

Fax

(208) 567-8850

NPI assigned

Nov 23, 2007

Last updated

May 19, 2025By 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

Credentials

Master of Science

State licenses

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.

• PRN Therapy Services, PC

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1588316574
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1831370584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 W WATERWHEEL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033132",
            "telephone_number": "208-407-1877",
            "fax_number": "208-567-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372 W WATERWHEEL DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837033132",
            "telephone_number": "208-407-1877",
            "fax_number": "208-567-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANNA",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP1427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Neil Sands, O.D.
• Charles Sands, PT
• Cathy Diane Sandstrom, MD
• Julia Anne Sanford Biggerstaff, M.S., PH.D.
• Josie Sanford, PT, DPT
• Jared Clive Sansom, PTA
• John Santana
• Kristen Elizabeth Santana, AGNP-C, WHNP-BC
• Shawna Santangelo
• Timothy J Santos, RPH

• 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 19, 2025; 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.