Individual provider Active NPI

Hannah Woody

  • Speech-Language Pathologist
  • Caldwell, ID
National Provider Identifier
1861161762
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP-4968 Issued in ID
Practice address
4110 Eaton Ave Ste B
Caldwell, ID 83607-1702
Phone
(208) 402-5735
Fax
(855) 353-0026
NPI assigned
Sep 13, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP-4968 ID Primary

Addresses

Primary practice location

4110 Eaton Ave Ste B
Caldwell, ID 83607-1702

Mailing address

4110 Eaton Ave Ste B
Caldwell, ID 83607-1702
Phone (208) 402-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220819002750 ID Practitioner - Qualified Speech Language Pathologist 0547643793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Idaho Speech and Swallow ServicesGroup PAC ID 9739588633, 3 clinicians

Practice addresses (Care Compare)

801 N Stilson Rd
Suite 130
Boise, ID 83703-5142
Phone (208) 996-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP-4968IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Words Speech and Language Services LLC Speech-Language Pathologist CurrentSince Aug 3, 2022 Accepting new patients

Locations

1605 S Kimball Ave
Caldwell, ID 83605
Phone (208) 454-2766

4110 Eaton Ave
Ste B
Caldwell, ID 83607
Phone (208) 402-5735

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1861161762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 EATON AVE STE B",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071702",
            "telephone_number": "208-402-5735",
            "fax_number": "855-353-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 EATON AVE STE B",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071702",
            "telephone_number": "208-402-5735",
            "fax_number": "855-353-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODY",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.