Bloom Speech and Voice Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BLOOM SPEECH AND VOICE THERAPY LLC

Practice address

2999 N Lakeharbor LN Ste 202
Boise, ID 83703-6291

Phone

(208) 690-4717

Fax

(208) 606-3684

NPI assigned

May 8, 2023

Last updated

Nov 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Stone, M.S., CCC-SLPNPI 1881268977

Title

Owner

Phone

(208) 690-4717

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara Stone, MS

  • Speech-Language Pathologist
  • Boise, ID
  • NPI 1881268977
  NPD Authorized official

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1891485520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16899 N CORNWALLIS WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836878257",
            "telephone_number": "208-690-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 N LAKEHARBOR LN STE 202",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036291",
            "telephone_number": "208-690-4717",
            "fax_number": "208-606-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOM SPEECH AND VOICE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-690-4717",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lorena Bloodworth, NNP
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• Bloom Counseling and Consulting
• Bloom Idaho LLC (AFC Urgent Care)
• Bloom Integrative Therapy
• Lance Elden Bloom, O.D.
• Tia Bloom, PHARMD
• Fred Bloomquist, RRT
• Blossom Counseling
• Susan Leigh Blough, M.D.

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, 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 Nov 26, 2024; 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.