NPI age
11 years
Enumerated 2015-03-18
● Active
Type 1 · Individual
Kelli Shaw
Shaw is 1 of 241 speech-language pathologist providers in Boise and 1 of 1046 in Idaho.
Primary specialty
Speech-Language Pathologist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-03-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1046 active speech-language pathologist providers in Idaho.
NPI age
11 years
≈ at median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-03Enumerated in NPPES
2015
2026
Where they practice
Practice location
3115 N Sycamore Dr
Boise, ID 837034129
Mailing address
613 N Hillview Dr
Boise, ID 837128120
Specialties
-
Speech-Language Pathologist PrimaryThe speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through...
Practice context
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Recently enumerated nearby: 2 new speech-language pathologist providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.