Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841708104 Individual Practitioner Female Practitioner

Alexa Leigh Blake , MS, CCC-SLP, CLC

Speech-Language Pathologist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Alexa Blake, MS, CCC-SLP, CLC is a registered healthcare professional specializing in Speech-Language Pathologist in Boise, ID. Practice services are available at 190 E BANNOCK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

190 E Bannock St

Boise, ID 837126241

Telephone 2083812222
Associated Practice Facility / Clinic

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

CMS Verified: 2025-09-12
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID 9871768

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

40 Associated Practitioners
Nora Suarez , NP

Nurse Practitioner - Neonatal, Critical Care

NPI 1003068677

Nurse Practitioner

Allison May

Nurse Anesthetist, Certified Registered

NPI 1003670845
Nathan Call , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013557032

Certified Registered Nurse Anesthetist

Dr. Ashley Jackson , PharmD

Pharmacist - Emergency Medicine

NPI 1013690908

Doctor of Pharmacy (Pharm.D.)

Madeline Tripp

Nurse Anesthetist, Certified Registered

NPI 1013898345
Laresa Janousek , NP

Nurse Practitioner - Neonatal

NPI 1013949155

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 12, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241 (Tel: 2083812222)

📍
Updated Business Mailing Address September 12, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

👤
Provider Name / Credentials Updated September 12, 2025

Recorded as ALEXA BLAKE, M.S., CCC-SLP, CLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2025

Speech-Language Pathologist (License #9871768 in ID)

NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2018

Registered at 525 N SANTIAM HWY, LEBANON, OR 973554363 (Tel: 5414517521)

📍
Updated Business Mailing Address January 19, 2018

Registered at 525 N SANTIAM HWY, LEBANON, OR 973554363

👤
Provider Name / Credentials Updated January 19, 2018

Recorded as ALEXA JONES, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Speech-Language Pathologist (License #015786 in OR)

🟢
Initial NPI Registration & Enumeration January 19, 2018

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: 1841708104
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2018
Last Update: September 12, 2025
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

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.