Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225996291 Individual Practitioner Female Practitioner

Jacquelyn Cannon

Speech-Language Pathologist • Chubbuck, ID

Professional Overview & Biography Verified Profile Summary

Jacquelyn Cannon is a registered healthcare professional specializing in Speech-Language Pathologist in Chubbuck, ID. Practice services are available at 240 W BURNSIDE AVE STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

240 W Burnside Ave Ste D

Chubbuck, ID 832024703

Telephone 2089041112
Associated Practice Facility / Clinic
🏢 Hannah's Place Llc Facility NPI 1245653468

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Chubbuck, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Chubbuck, ID (967 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-01-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID 5071179

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

15 Associated Practitioners
Emma Hull

Speech-Language Pathologist

NPI 1114755527
Kayla Bohman , OT

Occupational Therapist

NPI 1174165518

Occupational Therapist

Mckenzie Jemmett , SLP

Speech-Language Pathologist

NPI 1194109223

Speech-Language Pathologist

Amber Romriell , MS CCC- SLP

Speech-Language Pathologist

NPI 1194356329

MSCCCSLP

Megan O'brien

Occupational Therapist

NPI 1205612082
Taylor Anderson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1427723667

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 09, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2026

Registered at 240 W BURNSIDE AVE STE D, CHUBBUCK, ID 832024703 (Tel: 2089041112)

📍
Updated Business Mailing Address January 09, 2026

Registered at 240 W BURNSIDE AVE STE D, CHUBBUCK, ID 832024703

👤
Provider Name / Credentials Updated January 09, 2026

Recorded as JACQUELYN CANNON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2026

Speech-Language Pathologist (License #5071179 in ID)

🟢
Initial NPI Registration & Enumeration January 09, 2026

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: 1225996291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2026
Last Update: January 09, 2026
Sole Proprietor: Yes

Mailing Address

240 W Burnside Ave Ste D

Chubbuck, ID 832024703

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.