Jeffrey Anderson, MS, CCC-SLP
NPI 1063684421 · Speech-Language Pathologist · Rexburg, ID
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeffrey Anderson, MS, CCC-SLP is a Speech-Language Pathologist provider in Rexburg, ID (NPI 1063684421).
Provider details
- NPI number
- 1063684421
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- License
- SLP-1119 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-03-26
- Last updated
- 2009-09-01
Frequently asked questions
- What is Jeffrey Anderson's NPI number?
- Jeffrey Anderson's National Provider Identifier (NPI) is 1063684421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Anderson's specialty?
- Jeffrey Anderson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Jeffrey Anderson located?
- Jeffrey Anderson's practice location on file with NPPES is 393 E 2nd N, Rexburg, ID 83440.
- What is Jeffrey Anderson's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Anderson is (208) 359-9570.
- Does Jeffrey Anderson accept Medicare?
- Jeffrey Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeffrey Anderson's NPI active?
- Yes — Jeffrey Anderson's NPI (1063684421) is active in the NPPES registry as of the last update on 2009-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.