Kristan M. Bullock, M.S., CCC-SLP
Speech-Language Pathologist · Idaho Falls, ID
Kristan M. Bullock, M.S., CCC-SLP is a speech-language pathologist with a practice address in Idaho Falls, Idaho, and NPI 1689082521, issued on Jul 23, 2014. Check the license (Idaho SLP 2623, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kristan M. Bullock
- Credential
- M.S., CCC-SLP
- Primary taxonomy
- Speech-Language Pathologist 235Z00000X
- License number
- SLP 2623 ID
Self-reported in NPPES; status is on the state search - Practice location
- 3715 Woodking Dr, Idaho Falls, ID 83404
- Phone
- (208) 529-2255
- Enumerated
- Jul 23, 2014
- Record last updated
- Sep 15, 2014 (not updated in 12 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20141103000900); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest speech-language pathologist records → All 958 in Idaho → Look up another NPI →
Also registered at 3715 Woodking Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Rachel Barnes, M.S. CF-SLPSpeech-Language Pathologist1144743329
- Heidi Boyle, MOTR/LOccupational Therapist1013392802
- Rebecca ButikoferOccupational Therapist1578083820
- Victoria Cain, PT, CWSPhysical Therapist1265635684
- Shaylee CalawayOccupational Therapist1164010401
- Katie Fisher, MOTR/LOccupational Therapist1275932428
Verify Kristan M. Bullock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license SLP 2623Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Achieve Therapy And Learning Services, LLCIdaho Falls, ID
- Foothills Rehabilitation And Performance Services PLLCIdaho Falls, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kristan M. Bullock among 958 speech-language pathologist records in Idaho
Kristan M. Bullock, M.S., CCC-SLP is one of 958 speech-language pathologist records with a practice address in Idaho. 3% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 40% of them.
- NPI issued2014 · 40% of these records are older, 54% newer
- In a Medicare fileYes · 3% of these records are
- In the CMS Doctors and Clinicians fileYes · 5% of these records are
- Graduated2013 · median 2012 among the 49 with a school on file
- Record last updated2014 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 235Z00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
73 speech-language pathologist records list a practice address in Idaho Falls
They are 73 of the 2,467 NPPES records with a practice address in Idaho Falls, and 958 speech-language pathologist records in Idaho.
All 958 in Idaho → Every provider in Idaho Falls → Speech-Language Pathologist nationwide →
The 8 speech-language pathologist records with the nearest ZIP codes
- Margaret Adamski, M.S.Idaho Falls, ID 834041003979790
- Michelle Dahlberg, CCC-SLPIdaho Falls, ID 834041255353488
- Sheri ElkingtonIdaho Falls, ID 834041770691834
- Lauri Felts, MS, CCC-SLPIdaho Falls, ID 834041457411696
- Amy Fisher, MS, CCC-SLPIdaho Falls, ID 834041851454045
- Joann Hammond, M.S. CCC/SLPIdaho Falls, ID 834041740471341
- Joni Hoopes, MS CCC-SLPIdaho Falls, ID 834041285652461
- Vicki Hulet, MS-CCCSLPIdaho Falls, ID 834041255440939
Common questions
What is Kristan M. Bullock, M.S., CCC-SLP's NPI number?
Kristan M. Bullock, M.S., CCC-SLP's National Provider Identifier (NPI) is 1689082521, issued on Jul 23, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Kristan M. Bullock, M.S., CCC-SLP located?
The NPPES record lists a practice address at 3715 Woodking Dr, Idaho Falls, ID, 83404. Phone: (208) 529-2255. Providers update this record themselves, so call before visiting.
How can I verify Kristan M. Bullock, M.S., CCC-SLP's license?
NPPES lists Idaho license number SLP 2623, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.