Celebration Speech of Idaho, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CELEBRATION SPEECH OF IDAHO, LLC

Practice address

Celebration Speech
3715 Woodking Dr.
Idaho Falls, ID 83404

Phone

(208) 589-8381

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Stowell, MS, CCC-SLPNPI 1811007784

Title

Member

Phone

(208) 589-8381

Specialties & licenses 1

Addresses

Other names 1

• Celebration Speech Doing business as

Practitioners 1

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

• Kimberly Dawn Stowell, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Idaho Falls, ID
  • NPI 1811007784
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1851026645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 EAGLE POINTE CT",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066873",
            "telephone_number": "208-589-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CELEBRATION SPEECH",
            "address_2": "3715 WOODKING DR.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "83404",
            "telephone_number": "208-589-8381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATION SPEECH OF IDAHO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "STOWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-589-8381",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celebration Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Perla Michele Ceja, LMSW, CADC
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• Speech-Language Pathologist in Idaho Falls, ID
• Providers in Idaho Falls, 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 Jul 18, 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.