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Active NPI 1356686026 Individual Practitioner Female Practitioner

Kimberly A Ennis , MA, CCC-SLP

Speech-Language Pathologist • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Kimberly Ennis, MA, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Meridian, ID. Practice services are available at 1351 WEST PINE AVE. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1351 West Pine Ave.
Meridian Care And Rehabilitation Center

Meridian, ID 83642

Telephone 2088887246

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
95 Specialists

Practicing in Meridian, 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-1152

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2012

Registered at 1351 WEST PINE AVE., MERIDIAN CARE AND REHABILITATION CENTER, MERIDIAN, ID 83642 (Tel: 2088887246)

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Updated Business Mailing Address December 06, 2012

Registered at 1351 WEST PINE AVE., MERIDIAN CARE AND REHABILITATION CENTER, MERIDIAN, ID 83642 (Tel: 2088887246)

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Provider Name / Credentials Updated December 06, 2012

Recorded as KIMBERLY ENNIS, MA, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2012

Speech-Language Pathologist (License #SLP-1152 in ID)

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Initial NPI Registration & Enumeration December 06, 2012

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: 1356686026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2012
Last Update: December 06, 2012
Sole Proprietor: No

Mailing Address

1351 West Pine Ave., Meridian Care And Rehabilitation Center

Meridian, ID 83642

Phone: 2088887246

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

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