BROOKE A. BOLDT (NPI# 1508292426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508292426 |
| Entity Type | Individual |
| Full Name | BROOKE A. BOLDT |
| Other Name | BROOKE A. GRUNERT |
| Credential | M.S. CCC-SLP |
| Practice Address |
25059 Woolworth St Carthage NY 13619 |
| Mailing Address |
6859 Shady Ave Croghan NY 13327-2241 |
| Practice Telephone | 3154935000 |
| Practice Fax Number | 3154937036 |
| Mailing Telephone | 3152866465 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 023901 | NY | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16783 Ives Street Ext, Watertown, NY 136015312 | 3157885377 | 3157885373 |
| Street Address |
25059 WOOLWORTH ST |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437203445 | Carthage Central School District | Local Education Agency (LEA) | 25059 Woolworth St, Carthage, NY 13619-9597 | 2007-01-23 |
| 1942816988 | Amanda Mae Terrillion | Registered Nurse | 25059 Woolworth St, Carthage, NY 13619-9592 | 2020-09-16 |
| 1023541661 | Jeanne Stenoski | Registered Nurse | 25059 Woolworth St, Carthage, NY 13619-9597 | 2017-04-11 |
| 1912358557 | Suzanne Fazekas | Speech-Language Pathologist | 25059 Woolworth St, Carthage, NY 13619-9597 | 2016-06-24 |
| 1508258187 | Michelle A Auricchio | Registered Nurse | 25059 Woolworth St, Carthage, NY 13619-9597 | 2015-02-19 |
| 1043651391 | Alesa Nichole Bernat | Specialist/Technologist | 25059 Woolworth St, Carthage, NY 13619-9597 | 2013-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679173793 | Demi Waggoner | Speech-Language Pathologist | 1015 W Macon St, Carthage, MO 64836-2938 | 2020-10-28 |
| 1477035988 | Jessica Rae Derrick | Speech-Language Pathologist | 853 County Road 490, Carthage, TX 75633-3304 | 2018-08-30 |
| 1811498256 | Valerie Ross Barron | Speech-Language Pathologist | 806 Beverly Dr, Carthage, TX 75633-1323 | 2018-02-21 |
| 1235654831 | Leah Victoria Newton | Speech-Language Pathologist | 600 Miller St, Carthage, IL 62321-1129 | 2017-08-04 |
| 1588038814 | Charissa Lock | Speech-Language Pathologist | 652 County Road 180, Carthage, MO 64836-7625 | 2015-11-24 |
| 1285986554 | Summer V Martinez | Speech-Language Pathologist | 1249 County Road 184, Carthage, TX 75633-5324 | 2012-10-10 |
| 1124303524 | Cheryl B Cole | Speech-Language Pathologist | 25059 County Route 197, Carthage Central School, Carthage, NY 13619-9597 | 2011-10-17 |
| 1386809606 | Shirley Arnon Handford | Speech-Language Pathologist | 705 Old Canton Rd, Carthage, MS 39051-4081 | 2008-07-25 |
| 1558483628 | Kiley Kyte | Speech-Language Pathologist | 1435 S Main St, Carthage, MO 64836-2717 | 2007-04-06 |
| 1215061668 | Michelle Lynn Hitz | Speech-Language Pathologist | 210 S Adams St, Carthage, IL 62321-1420 | 2007-03-16 |
| Find all providers in CARTHAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.