Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992153282 Individual Practitioner Female Practitioner

Amanda Ball

Speech-Language Pathologist • Coeur D Alene, ID

Professional Overview & Biography Verified Profile Summary

Amanda Ball is a registered healthcare professional specializing in Speech-Language Pathologist in Coeur D Alene, ID. Practice services are available at 917 W CANFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

917 W Canfield Ave

Coeur D Alene, ID 838159764

Telephone 2087623502
Fax 8883104824
Associated Practice Facility / Clinic
🏢 Periwinkle Children's Therapy Facility NPI 1598211856

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Coeur D Alene, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
38 Specialists

Practicing in Coeur D Alene, 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: 2020-05-27
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-4295

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1992153282 (ID)

Secondary Practice Locations

528 E Spokane Falls Blvd, Suite 14

Spokane, WA 992025081

Phone: 5093281582

Practice Associates & Co-Workers

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

8 Associated Practitioners
Christy Adams , OTR, L

Occupational Therapist - Pediatrics

NPI 1104025097

Occupational Therapist Registered, L

Heather Penske , MS, CCC-SLP

Speech-Language Pathologist

NPI 1164765251

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

Michelle Coppess

Speech-Language Pathologist

NPI 1407012628
Kayla Wearne , MS, CCC-SLP

Speech-Language Pathologist

NPI 1578921961

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

Janie Ortega , OTR, L

Occupational Therapist - Pediatrics

NPI 1588171300

Occupational Therapist Registered, L

Nicole Wineberg , MS

Speech-Language Pathologist

NPI 1649105644

Master of Science

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2020

Speech-Language Pathologist (License #SLP-4295 in ID)

📍
Updated Practice Location January 10, 2020

Registered at 917 W CANFIELD AVE, COEUR D ALENE, ID 838159764 (Tel: 2087623502)

📍
Updated Business Mailing Address January 10, 2020

Registered at 917 W CANFIELD AVE, COEUR D ALENE, ID 838159764 (Tel: 2087623502)

👤
Provider Name / Credentials Updated January 10, 2020

Recorded as AMANDA BALL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2020

Speech-Language Pathologist (License #TSLP-3876 in ID)

NPI Profile Active May 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 27, 2016

Registered at 528 E SPOKANE FALLS BLVD, SUITE 14, SPOKANE, WA 992025081 (Tel: 5093281582)

📍
Updated Business Mailing Address May 27, 2016

Registered at 528 E SPOKANE FALLS BLVD, SUITE 14, SPOKANE, WA 992025081

👤
Provider Name / Credentials Updated May 27, 2016

Recorded as AMANDA MACKIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 27, 2016

Behavior Analyst

🟢
Initial NPI Registration & Enumeration May 27, 2016

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: 1992153282
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2016
Last Update: May 27, 2020
Sole Proprietor: No

Mailing Address

917 W Canfield Ave

Coeur D Alene, ID 838159764

Phone: 2087623502

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.