Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386269983 Individual Practitioner Female Practitioner

Caroline M Riley , MS, CCC-SLP

Speech-Language Pathologist • Kimberly, ID

Professional Overview & Biography Verified Profile Summary

Caroline Riley, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Kimberly, ID. Practice services are available at 113 MAIN STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

113 Main Street

Kimberly, ID 83341

Telephone 2084219659
Fax 2082683878
Associated Practice Facility / Clinic
🏢 Makona Therapy Services, Llc Facility NPI 1013592575

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Kimberly, ID

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

Practicing in Kimberly, 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: 2021-12-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-4298

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
201830028 (ID)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Sara Prescott , MS, CF-SLP

Speech-Language Pathologist

NPI 1538882592

Master of Science, Clinical Fellow in Speech-Language Pathology

Christine Reeds , OT, L

Occupational Therapist

NPI 1912169418

Occupational Therapist, L

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address September 21, 2020

Registered at 225 MAIN ST N UNIT 182, KIMBERLY, ID 833417008 (Tel: 2084219659)

NPI Profile Active June 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2020

Registered at 113 MAIN STREET, KIMBERLY, ID 83341 (Tel: 2084219659)

📍
Updated Business Mailing Address June 12, 2020

Registered at 113 MAIN STREET, KIMBERLY, ID 83341 (Tel: 2084219659)

👤
Provider Name / Credentials Updated June 12, 2020

Recorded as CAROLINE RILEY, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2020

Speech-Language Pathologist (License #SLP-4298 in ID)

🟢
Initial NPI Registration & Enumeration June 10, 2020

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: 1386269983
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2020
Last Update: December 16, 2021
Sole Proprietor: Yes

Mailing Address

225 Main St N Unit 182

Kimberly, ID 833417008

Phone: 2084219659

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.