Active NPI 1023401825 Individual Practitioner Female Practitioner

Kelli Shaw

Speech-Language Pathologist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Kelli Shaw is a registered healthcare professional specializing in Speech-Language Pathologist in Boise, ID. Practice services are available at 3115 N SYCAMORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3115 N Sycamore Dr

Boise, ID 837034129

Telephone 2084016401

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Boise, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.7 Yrs

State Avg: 14.2 Yrs

Regional Practice Density

217 Specialists

Practicing in Boise, ID (967 Statewide)

Telehealth Adoption Rate

0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID TSLP-2657

The 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 geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Moises Albano

Physical Therapy Assistant

NPI 1386018521

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2015

Registered at 3115 N SYCAMORE DR, BOISE, ID 837034129 (Tel: 2084016401)

📍

Updated Business Mailing Address March 18, 2015

Registered at 613 N HILLVIEW DR, BOISE, ID 837128120 (Tel: 2083537776)

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Provider Name / Credentials Updated March 18, 2015

Recorded as KELLI SHAW

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2015

Speech-Language Pathologist (License #TSLP-2657 in ID)

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Initial NPI Registration & Enumeration March 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023401825

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 18, 2015

Last Update: March 18, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

613 N Hillview Dr

Boise, ID 837128120

Phone: 2083537776

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.