NPI age
4 years
Enumerated 2021-11-08
● Active Type 2 · Organization
Idaho Pediatric Speech And Language, Llc
Idaho Pediatric Speech And Language, Llc is 1 of 24 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Speech-Language Pathologist
Last NPPES update
2021-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 24 active clinic/center providers in Idaho.
NPI age
4 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
697 N Keagan Way
Meridian, ID 836425513
Mailing address
697 N Keagan Way
Meridian, ID 836425513
Authorized official
Katelyn Smith, CCC-SLP
Speech-Language Pathologist
📞 2086915785
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.