IndividualActive
Penny Mata, MEDICAL ASSISTANT
NPI 1518601020 · Speech/Language/Hearing Specialist/Technologist · Caldwell, ID
Provider details
- NPI number
- 1518601020
- Entity type
- Individual
- Primary specialty
- Speech/Language/Hearing Specialist/TechnologistSpeech, Language and Hearing Service Providers
- Credential
- MEDICAL ASSISTANT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
4521 Thomas Jefferson St
Caldwell, ID 83605-5100
Phone: (208) 454-4820
Fax: (208) 454-4859
Approximate (ZIP-level) locationGet directions
Mailing address
4521 Thomas Jefferson St
Caldwell, ID 83605-5100
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
- Certified
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.