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

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

Practice location Address checks out

13075 W Persimmon Ln Ste 120
Boise, ID 83713-1986
Phone: (208) 793-7006
Fax: (208) 793-7007
Show map & directions

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
Mailing address4628 W Pasadena Ln Apt 101, Boise, ID 83705-6527

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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