Donna Merle Boulette, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103968 Issued in TX

Practice address

1950 Live Oak St
San Angelo, TX 76901-3944

Phone

(325) 315-3146

NPI assigned

Aug 17, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1013222850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LIVE OAK ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013944",
            "telephone_number": "325-315-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LIVE OAK ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013944",
            "telephone_number": "325-315-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULETTE",
        "first_name": "DONNA",
        "middle_name": "MERLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80195",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Lee Boss
• Stephen Ray Boster, MD
• David Louis Boswell Jr., M.D.
• Jordan Renea Boswell
• Sherrie Bouissey, ANP
• Brittany Bourgeois
• William Barrett Bowlin, MD
• Delyn Boyd, OTR
• Michael Keesey Boyd, M.D.
• Frank Bedros Bozyan, MD

• Speech-Language Pathologist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.