NPIMap

Organization Active NPI

Chatterton Speech Therapy, LLC

Doing business as Center for Orofacial Myology

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1932501558
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-1312 Issued in ID
Legal business name
CHATTERTON SPEECH THERAPY, LLC
Doing business as
Center for Orofacial Myology
Practice address
8601 W Emerald St Ste 150
Boise, ID 83704-4841
Phone
(208) 793-7006
Fax
(208) 793-7007
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Mrs. Rian Noel Chatterton, SLPNPI 1861609885
Title
Owner
Phone
(208) 793-7006

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1861609885MedicaidID

Other names 1

  • Center for Orofacial Myology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141020000094 ID Part B Supplier - Clinic/Group Practice 9234350182 Receives reassigned benefits from 20 practitioners
Practice locations: Boise, ID

National Provider Directory

National Provider Directory

Locations

13075 W Persimmon Ln
#120
Boise, ID 83713
Phone (208) 793-7006

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1932501558",
    "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": {
        "organization_name": "CHATTERTON SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2025-04-30",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "CHATTERTON",
        "authorized_official_first_name": "RIAN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-793-7006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861609885",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orofacial Myology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.