KIMBERLY WALLIS-RUCKLOS MA CCC SLP
NPI 1548446420
Speech-Language Pathologist in Boise, ID

NPI Status: Active since January 10, 2008

Contact Information

6855 W FAIRVIEW AVE
STE. 120
BOISE, ID
ZIP 83704
Phone: (208) 323-8888
Fax: (208) 323-8889

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  • Individual
  • Female
  • Speech-Language Pathologist

About KIMBERLY WALLIS-RUCKLOS

This page provides the complete NPI Profile along with additional information for Kimberly Wallis-rucklos, a provider established in Boise, Idaho with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1548446420 assigned on January 2008. The practitioner's primary taxonomy code is 235Z00000X with license number SLP-1374 (ID). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1548446420
Provider Name
KIMBERLY WALLIS-RUCKLOS MA CCC SLP
Gender
Female
Entity Type
Individual
Location Address
6855 W FAIRVIEW AVE STE. 120 BOISE, ID 83704
Location Phone
(208) 323-8888
Location Fax
(208) 323-8889
Mailing Address
6855 W FAIRVIEW AVE STE. 120 BOISE, ID 83704
Mailing Phone
(208) 323-8888
Mailing Fax
(208) 323-8889
Is Sole Proprietor?
No
Enumeration Date
01-10-2008
Last Update Date
01-10-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
SLP-1374
License State
ID
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548446420
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588841244
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 8 + 4 + 1 + 2 + 4 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1548446420 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386869642 AMY HARDY M.S. CCC-SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1366628976 KRISTA MCTEER MS CCC-SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE STE. 120
BOISE, ID 83704
(208) 323-8888
1760610604 HEIDE HARM SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1497984678 DENISE CHILDS
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1477880680 LESLIE SOARES SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1629382833 STEPHANIE FREY SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1043515554 KEVIN WOODALL SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1518262872 JESSICA HARSTON SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1942506555 KELLY KING SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1760788384 NICOLE NICKELL OT
Individual
Specialist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1275806572 DEANNA WILLIS MS CF SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE STER 120
BOISE, ID 83704
(208) 323-8888
1326335100MRS. KENDRA LENZI OTR/L
Individual
Occupational Therapist6855 W FAIRVIEW AVE STE 120
BOISE, ID 83704
(208) 323-8888
1619211869 REBECCA SKYE SVENSON SCHLABS D.P.T.
Individual
Physical Therapist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1134465420CTP MENTAL HEALTH COUNSELING
Organization
Counselor (Mental Health)6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1730504911 HILLARY ERIN RATLIFFE OTRL
Individual
Occupational Therapist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1104230044MRS. HEATHER GALM MOT, OTR/L
Individual
Specialist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1245463892 KRISTINE LEFFERTS CCC-SLP
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1912389180MISS AMANDA ELIZABETH STUBBS LMSW
Individual
Social Worker6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1285002782 SARA ANDREWS
Individual
Speech-Language Pathologist6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888
1841651049MS. ALICIA SCHLATTMANN LPC, NCC
Individual
Counselor (Professional)6855 W FAIRVIEW AVE
BOISE, ID 83704
(208) 323-8888

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548446420, enumerated in the NPI registry as an "individual" on January 10, 2008

The provider is located at 6855 W Fairview Ave Ste. 120 Boise, Id 83704 and the phone number is (208) 323-8888

The provider's speciality is Speech-Language Pathologist with taxonomy code 235Z00000X

This NPI record was last updated on January 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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