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MIRANDA SULLIVAN MS, CCC-SLP
NPI 1124600697
Speech-Language Pathologist in Eagle, ID

Active since April 24, 2021
449 S FITNESS PL, EAGLE, ID 83616(208) 957-6301 Get Directions Write a Review

NPPES record last updated: April 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miranda Sullivan Ms, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA SULLIVAN MS, CCC-SLP (NPI 1124600697) is an individual speech-language pathologist provider in Eagle, Idaho and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1124600697
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMIRANDA SULLIVANCredential: MS, CCC-SLP
Location Address449 S FITNESS PLEagle, ID 83616-6828
Mailing Address2920 W Jefferson StBoise, ID 83702-4614 · (208) 249-4890
Phone(208) 957-6301
Sole ProprietorNo
Enumeration DateApril 24, 2021
NPPES CertifiedApril 24, 2021
✔ NPI 1124600697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
449 S FITNESS PL, Eagle, ID 83616
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA BARBER
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
DR. AMY LYNN FUST SHAVER BS, OTD
Occupational Therapist
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
MEGAN OLIVIA GIBB
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
JESSICA GIVEN C.O.T.A/L
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 937-6301
COLBY JAMES TAYLOR
Occupational Therapist (Pediatrics)
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
JENNY SUE BROWN COTA
Occupational Therapy Assistant
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
LUKAS STASHIK
Behavior Technician
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301
ASHLEY WRIGHT MA, CCC-SLP
Speech-Language Pathologist
449 S FITNESS PL
EAGLE, ID 83616
Ada County (208) 957-6301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Sullivan's NPI number?

The NPI number for Miranda Sullivan is 1124600697. It was assigned to this individual provider in the NPPES registry on April 24, 2021.

Where is Miranda Sullivan located?

Miranda Sullivan practices at 449 S Fitness Pl, Eagle, ID 83616. The listed phone number is (208) 957-6301.

What is Miranda Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Miranda Sullivan accept?

Health plans from Providence Health Plan list Miranda Sullivan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miranda Sullivan was last updated on April 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.