NPIMap

Organization Active NPI

Riversong Speech and Language

  • Speech-Language Pathologist
  • Boise, ID
National Provider Identifier
1992309496
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
RIVERSONG SPEECH AND LANGUAGE
Practice address
2313 N 27TH St
Boise, ID 83702-0242
Phone
(928) 600-4948
NPI assigned
Nov 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Christine Leigh Wallin, MS, CCC-SLPNPI 1154838936
Title
Speech-Language Pathologist
Phone
(208) 298-6183

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 Primary

Addresses

Primary practice location

2313 N 27TH St
Boise, ID 83702-0242

Mailing address

2313 N 27TH St
Boise, ID 83702-0242
Phone (208) 298-6183

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1992309496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 N 27TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020242",
            "telephone_number": "208-298-6183",
            "fax_number": "208-600-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 N 27TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837020242",
            "telephone_number": "928-600-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSONG SPEECH AND LANGUAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLIN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "208-298-6183",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2021; 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.