Individual provider Active NPI

Sharon Elizabeth Morrison-Doke, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Eagle, ID
National Provider Identifier
1881723377
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1353 Issued in ID
Practice address
935 E Winding Creek Dr Ste 120
Eagle, ID 83616
Phone
(208) 938-4748
Fax
(208) 938-1710
NPI assigned
Mar 2, 2007
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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 SLP-1353 ID Primary

Addresses

Primary practice location

935 E Winding Creek Dr Ste 120
Eagle, ID 83616

Mailing address

935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242
Phone (208) 938-4748

Other practice location 1

964 W Idaho Ave
Ontario, OR 97914-2111
Phone (208) 941-2943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130516000329 ID Practitioner - Qualified Speech Language Pathologist 9830336577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boise Speech Tree LLCGroup PAC ID 1557782554, 3 clinicians

Practice addresses (Care Compare)

935 E Winding Creek Dr
Suite 120
Eagle, ID 83616-7242
Phone (208) 938-4748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP-1353IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Boise Speech Tree, LLC Speech-Language Pathologist CurrentSince Jul 6, 2022 Accepting new patients
Snake River Radiology PC PastSince Apr 14, 2018 Accepting new patients

Locations

1409 W Main St
Ste 120
Boise, ID 83702
Phone (208) 370-5857

935 E Winding Creek Dr
Ste 120
Eagle, ID 83616
Phone (208) 938-4748

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1881723377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DR STE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836167242",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 E WINDING CREEK DR STE 120",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "83616",
            "telephone_number": "208-938-4748",
            "fax_number": "208-938-1710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "964 W Idaho Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142111",
            "country_code": "US",
            "telephone_number": "208-941-2943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON-DOKE",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.