Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932640869 Individual Practitioner Female Practitioner

Grace Kalisky , MA CCC SLP

Speech-Language Pathologist • Star, ID

Professional Overview & Biography Verified Profile Summary

Grace Kalisky, MA CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Star, ID. Practice services are available at 12124 W FERAMORZ LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12124 W Feramorz Ln

Star, ID 836695165

Telephone 2083912773
Fax 8552550774
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Star, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Star, 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-1678

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 None
NONE (ID)

Practice Associates & Co-Workers

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

11 Associated Practitioners
Rachel Wardrop

Speech-Language Pathologist

NPI 1013845981
Jessica Myers , SLP

Speech-Language Pathologist

NPI 1073130126

Speech-Language Pathologist

Kaili Smalley

Student in an Organized Health Care Education/Training Program

NPI 1104422336
Carrie Otterness

Occupational Therapy Assistant

NPI 1215850672
Angela Abbott , SLP

Speech-Language Pathologist

NPI 1275170383

Speech-Language Pathologist

Alyssa Shirley , OTR, L

Occupational Therapist

NPI 1285520536

Occupational Therapist Registered, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 10, 2017

Registered at 12124 W FERAMORZ LN, STAR, ID 836695165 (Tel: 2083912773)

📍
Updated Business Mailing Address March 10, 2017

Registered at 12124 W FERAMORZ LN, STAR, ID 836695165 (Tel: 2083912773)

👤
Provider Name / Credentials Updated March 10, 2017

Recorded as GRACE KALISKY, MA CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2017

Speech-Language Pathologist (License #SLP-1678 in ID)

🟢
Initial NPI Registration & Enumeration March 10, 2017

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: 1932640869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2017
Last Update: March 10, 2017
Sole Proprietor: No

Mailing Address

12124 W Feramorz Ln

Star, ID 836695165

Phone: 2083912773

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.