Active NPI
Rian Noel Chatterton, MS, CCC-SLP, COM,QOM
- Speech-Language Pathologist
- Boise, ID
National Provider Identifier
1861609885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-1312
- Practice address
- 8601 W Emerald St Ste 150
Boise, ID 83704-4841 - Phone
- (208) 793-7006
- Fax
- (208) 793-7007
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1312 | ID | Primary |
Addresses
Primary practice location
8601 W Emerald St Ste 150
Boise, ID 83704-4841
Mailing address
8601 W Emerald St Ste 150
Boise, ID 83704-4841
Phone (208) 793-7006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932501558 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8601 W Emerald St
Suite 150
Boise, ID 83704-4841
Phone (208) 793-7006
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1312 | ID | MD | Speech-Language Pathologist |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Boise, ID
- NPI 1932501558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1861609885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8601 W EMERALD ST STE 150",
"city": "BOISE",
"state": "ID",
"postal_code": "837044841",
"telephone_number": "208-793-7006",
"fax_number": "208-793-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 W EMERALD ST STE 150",
"city": "BOISE",
"state": "ID",
"postal_code": "837044841",
"telephone_number": "208-793-7006",
"fax_number": "208-793-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERTON",
"first_name": "RIAN",
"middle_name": "NOEL",
"credential": "MS, CCC-SLP, COM,QOM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-1312",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1932501558",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.