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Karissa Rutten, MS CCC-SLP

NPI 1144638636ActiveIndividual· Speech-Language Pathologist· Mountain Home, ID

Speech-Language Pathologist (MS CCC-SLP) in Mountain Home, Idaho, licensed in ID, with an NPI issued in July 2014. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1144638636
StatusActive
Entity typeIndividual
CredentialMS CCC-SLP
Sole proprietorNo
NPI issuedJul 28, 2014
Last updated in NPPESOct 10, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XTSLP-2595ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (ID)

Medicare sources and data years

Other Speech-Language Pathologist providers in Mountain Home

All Speech-Language Pathologist providers in Idaho →