Shelly Rae Ashbocker, SLP
Individual provider Active NPI Speech-Language Pathologist · Rupert, ID
NPI 1831457902 · NPPES record last updated Sep 1, 2015
Key facts
- NPI
- 1831457902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-1978 (ID)
- Practice address
- 147 S Meridian
Rupert, ID 83350-8701 - Phone
- (208) 390-1139
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Therapy Services, LLC | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1978 | ID | Yes |
Addresses
Primary practice location
147 S Meridian
Rupert, ID 83350-8701
Mailing address
147 S Meridian
Rupert, ID 83350-8701
Phone (208) 390-1139
Other providers in Rupert, ID
- Mindee Anderson
- Kelsey Ashby
- Ashley Christensen, LCSW, LLC
- Atob Services, LLC
- Autumn Haven Assisted Living, Inc,
- Jessica Bagby
All providers in Rupert, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.