MARY BOEHM (NPI# 1629146220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629146220 |
| Entity Type | Individual |
| Full Name | MARY BOEHM |
| Credential | M.A., CCC-SLP |
| Practice Address |
11701 San Victorio Ave Ne Albuquerque NM 87111-5947 |
| Mailing Address |
1108 La Vega Dr Sw Albuquerque NM 87105-3947 |
| Practice Telephone | 5052934259 |
| Practice Fax Number | 5052934586 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1913 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 349 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760517759 | Mary Boehm | Optometrist | 300 W Portal Ave, San Francisco, CA 94127-1412 | 2007-02-22 |
| 1770674715 | Mary Rose Boehm | Internal Medicine | 200 E. Highland Ave., Suite 2, Clermont, FL 34711-2712 | 2006-09-27 |
| Street Address |
11701 SAN VICTORIO AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588975882 | Renee Garcia | Speech-Language Pathologist | 11701 San Victorio Ave Ne, Georgia O'keefe Es, Albuquerque, NM 87111-5947 | 2010-07-01 |
| 1326375809 | Nicole M Eseenmacher | Speech-Language Pathologist | 11701 San Victorio Ave Ne, Georgia O'keefe Es, Albuquerque, NM 87111-5947 | 2009-11-04 |
| 1821142456 | Barbara Berlin | Occupational Therapist | 11701 San Victorio Ave Ne, Georgia O'keeffe Es, Albuquerque, NM 87111-5947 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| 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 |
|---|---|---|---|---|
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1083245427 | Jacquelyn Garcia | Speech-Language Pathologist | 1127 Univ Blvd Ne, Albuquerque, NM 87102-1740 | 2020-02-03 |
| 1346882842 | Amy Taylor Neel | Speech-Language Pathologist | Msc01 1195 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-10-16 |
| 1770141590 | Valentina Hardison | Speech-Language Pathologist | 5924 Anaheim Ave Ne Ste B, Albuquerque, NM 87113-1879 | 2019-06-05 |
| 1629530506 | Hyuna Kim | Speech-Language Pathologist | 1839 Kelso Ct Se, Albuquerque, NM 87123-2291 | 2019-04-01 |
| 1588135586 | Holly E Stewart | Speech-Language Pathologist | 10321 Oakland Ave Ne, Albuquerque, NM 87122-3931 | 2018-12-17 |
| 1376038588 | Maja Erika Whitaker | Speech-Language Pathologist | 9600 Peralta Rd Ne, Albuquerque, NM 87109-6360 | 2018-06-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on MARY BOEHM.
| 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.