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Taelin Marie Holloway

NPI 1336648575ActiveIndividual· Speech-Language Pathologist· Eagle, ID

Speech-Language Pathologist with Boise Speech Tree LLC, practicing in Eagle, Idaho. Medicare paid $6,221 for services to 18 patients in 2024.

Overview

NPI1336648575
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 2, 2018
Last updated in NPPESOct 20, 2026
Certified by providerOct 20, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000XSLP10954AZ

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 (AZ); Practitioner - Qualified Speech Language Pathologist (ID)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients18
Services billed96 across 5 procedure codes
Paid by Medicare$6,221

Medicare sources and data years

Education and affiliations

Graduation year2021
Medicare specialtyQualified Speech Language Pathologist

Medical group

Source: CMS Care Compare

Other Speech-Language Pathologist providers in Eagle

All Speech-Language Pathologist providers in Idaho →