Amanda Ball

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-4295 Issued in ID

Practice address

917 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 762-3502

Fax

(888) 310-4824

NPI assigned

May 27, 2016

Last updated

May 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Periwinkle Children's Therapy

  • Contractor
  • Hayden, ID
  • NPI 1184972184
  NPD (past)
• Periwinkle Children's Therapy

  • Community/Behavioral Health Agency
  • Coeur d'Alene, ID
  • NPI 1598211856
  NPD (past)

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1992153282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-762-3502",
            "fax_number": "888-310-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-762-3502",
            "fax_number": "888-310-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "528 E Spokane Falls Blvd",
            "address_2": "Suite 14",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992025081",
            "country_code": "US",
            "telephone_number": "509-328-1582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-4295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Jean Baker
• Elaine Elizabeth Baker, PHARM.D.
• Megan Baker
• Shayla Baker, LMSW
• Tracie Lynn Baker, LMSW
• Philip Anders Ballance
• Franciosa Soreno Ballard, LMSW
• Desiree Barclift
• Julianna Bardgett
• Allison Marie Barnes, LMSW

• Speech-Language Pathologist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, 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 May 27, 2020; 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.