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Danielle Marie Wallner , SLP

Speech-Language Pathologist β€’ Eagle, ID

Active NPI 1225239783 Individual Practitioner Female Practitioner
Practice location in NPPES

77 N Fisher Park Way
Eagle, ID 836164796

Call 2083785430 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

77 N Fisher Park Way

Eagle, ID 836164796

Telephone 2083785430
Organization at the Same NPPES Address or Phone
Caring Edge Op Llc Facility NPI 1700399359

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eagle and Idaho

28 active clinicians are listed under Speech-Language Pathologist with a practice address in Eagle, ID (958 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagle

0% of these 28 clinicians have the CMS telehealth indicator.

7.1% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES ID SLP-1131

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1225239783 (ID)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Allison Boldridge , PT

Physical Therapist

NPI 1023273331

Physical Therapist

Dr. Serin Kim , DPT

Physical Therapist

NPI 1023626033

Doctor of Physical Therapy

NPI 1760627038

Doctor of Physical Therapy

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location April 24, 2018

Registered at 77 N FISHER PARK WAY, EAGLE, ID 836164796 (Tel: 2083785430)

πŸ“
Updated Business Mailing Address April 24, 2018

Registered at 2965 E TARPON DR STE 150, MERIDIAN, ID 836429007 (Tel: 2082879420)

πŸ‘€
Provider Name / Credentials Updated April 24, 2018

Recorded as DANIELLE WALLNER, SLP

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 808 N CURTIS RD, BOISE, ID 837061306 (Tel: 2083785430)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1218 N AUTUMN WIND DR, NAMPA, ID 836879612 (Tel: 2088411591)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DANIELLE WALLNER-LOWE, SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (license number reported to NPPES: ID SLP-1131)

🟒
Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225239783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2007
Last Update: April 24, 2018
Sole Proprietor: Yes

Mailing Address

2965 E Tarpon Dr Ste 150

Meridian, ID 836429007

Phone: 2082879420

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.