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Active NPI 1518028141 Individual Practitioner Female Practitioner

Jennifer W. Putnam , MS CCC-SLP

Speech-Language Pathologist • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Jennifer Putnam, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pocatello, ID. Practice services are available at 3145 DARTAGNAN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3145 Dartagnan Dr

Pocatello, ID 832045090

Telephone 2085201403
Fax 2082322766

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pocatello, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.2 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
64 Specialists

Practicing in Pocatello, 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-1405

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

Commercial Insurance / Payer ID National Asha Number
12012396 (ID)
Commercial Insurance / Payer ID State License Number
SLP-1405 (ID)
Commercial Insurance / Payer ID Regence Blue Shield Of Id
000010145355 (ID)
Commercial Insurance / Payer ID Blue Cross Of Idaho
SPL10 (ID)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 07, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 07, 2012

Registered at 3145 DARTAGNAN DR, POCATELLO, ID 832045090 (Tel: 2085201403)

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Updated Business Mailing Address March 07, 2012

Registered at 3145 DARTAGNAN DR, POCATELLO, ID 832045090 (Tel: 2085201403)

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Provider Name / Credentials Updated March 07, 2012

Recorded as JENNIFER PUTNAM, M.S. CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2012

Speech-Language Pathologist (License #SLP-1405 in ID)

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Initial NPI Registration & Enumeration December 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518028141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: March 07, 2012
Sole Proprietor: Yes

Mailing Address

3145 Dartagnan Dr

Pocatello, ID 832045090

Phone: 2085201403

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.