Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598172694 Individual Practitioner Female Practitioner

Shannon Marie Smith , MS, CCC-SLP

Speech-Language Pathologist • Pocatello, ID

Professional Overview & Biography Verified Profile Summary

Shannon Smith, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pocatello, ID. Practice services are available at 1001 N 7TH AVE STE 280 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1001 N 7th Ave Ste 280

Pocatello, ID 832015788

Telephone 2082391490
Fax 2082391794

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

CMS Verified: 2024-09-19
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-2557

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

10 Associated Practitioners
Beth Agres

Speech-Language Pathologist

NPI 1013367580
Ashley Helmandollar , OT

Occupational Therapist

NPI 1255158853

Occupational Therapist

Rebecca Hansen , CCC-SLP

Speech-Language Pathologist

NPI 1366174989

Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Craig Godfrey , DPT

Physical Therapist

NPI 1457083370

Doctor of Physical Therapy

Shannon Barlow , PT

Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine

NPI 1457083487

Physical Therapist

Amber Davis , MA CCC-SLP

Speech-Language Pathologist

NPI 1467992537

MACCCSLP

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 19, 2024

Registered at 1001 N 7TH AVE STE 280, POCATELLO, ID 832015788 (Tel: 2082391490)

👤
Provider Name / Credentials Updated September 19, 2024

Recorded as SHANNON SMITH, MS, CCC-SLP

NPI Profile Active July 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 21, 2014

Registered at 1559 N STEVENS DR, UNIT D, IDAHO FALLS, ID 834013897 (Tel: 2082413486)

📍
Updated Business Mailing Address July 21, 2014

Registered at 1559 STEVENS DRIVE, UNIT D, IDAHO FALLS, ID 83401 (Tel: 2082413486)

👤
Provider Name / Credentials Updated July 21, 2014

Recorded as SHANNON SMITH, MS, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2014

Speech-Language Pathologist (License #SLP-2557 in ID)

🟢
Initial NPI Registration & Enumeration July 21, 2014

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: 1598172694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 21, 2014
Last Update: September 19, 2024
Sole Proprietor: No

Mailing Address

1559 Stevens Drive, Unit D

Idaho Falls, ID 83401

Phone: 2082413486

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.