Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417695453 Individual Practitioner Female Practitioner

Fabiola Koperberg , MS

Speech-Language Pathologist • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Fabiola Koperberg, MS is a registered healthcare professional specializing in Speech-Language Pathologist in Rexburg, ID. Practice services are available at 36 PROFESSIONAL PLZ STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

36 Professional Plz Ste 110

Rexburg, ID 834402049

Telephone 2087343356
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Rexburg, 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: 2022-05-20
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-4727

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 State License
SLP-4727 (ID)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Barbara Jensen , MD

Internal Medicine - Sleep Medicine

NPI 1164575726

Doctor of Medicine (M.D.)

NPI 1508984287

MDPC

NPI 1518989094

Master of Social Work, Licensed Clinical Social Worker, DAPA

Bruce Harding , CRNA

Nurse Anesthetist, Certified Registered

NPI 1902989056

Certified Registered Nurse Anesthetist

Dr. Anna Ripley , DPT

Physical Therapist

NPI 1922798891

Doctor of Physical Therapy

John Carmichael , CRNA

Nurse Anesthetist, Certified Registered

NPI 1972682060

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 20, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 20, 2022

Registered at 36 PROFESSIONAL PLZ STE 110, REXBURG, ID 834402049 (Tel: 2087343356)

📍
Updated Business Mailing Address May 20, 2022

Registered at 36 PROFESSIONAL PLZ STE 110, REXBURG, ID 834402049 (Tel: 2083599570)

👤
Provider Name / Credentials Updated May 20, 2022

Recorded as FABIOLA KOPERBERG, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2022

Speech-Language Pathologist (License #SLP-4727 in ID)

🟢
Initial NPI Registration & Enumeration May 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Fabiola Koperberg. Be the first to share your experience!

Sign in to leave a review for Fabiola Koperberg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417695453
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2022
Last Update: May 20, 2022
Sole Proprietor: No

Mailing Address

36 Professional Plz Ste 110

Rexburg, ID 834402049

Phone: 2083599570

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.