Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Edes

Individual provider Speech-Language Pathologist · NPI 1184194789

Blake Edes is a Qualified Speech Language Pathologist in Boise, Idaho. Qualified in 2018, 8 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2018
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Practice location Address checks out

13075 W Persimmon Ln Ste 120
Boise, ID 83713-1986
Phone: (208) 793-7006
Fax: (208) 793-7007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7091 W Emerald St, Boise, ID 83704-8618 — (208) 898-1368
  • 101 11th Ave S Ste 155, Nampa, ID 83651-3918 — (208) 466-1077

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-4067 (ID)

Record details

NPI number1184194789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 27, 2018
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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