Brittney Jacobson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

509 Buddy Holly Place
Clear Lake, IA 50428-1359

Phone

(641) 357-5056

NPI assigned

Sep 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brittney Boehmer Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerme Asl, LLC

  • Multi-Specialty Clinic/Center
  • Fort Madison, IA
  • NPI 1376138305

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Empowerme Asl, LLC

  • Rehabilitation Clinic/Center
  • Grand Island, NE
  • NPI 1447944657
  NPD
• Abcm Corporation

  • Rehabilitation Clinic/Center
  • Clear Lake, IA
  • NPI 1083081707
  NPD (past)

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1023487600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "address_2": "1320 4TH",
            "city": "HAMPTON",
            "state": "IA",
            "postal_code": "504411104",
            "telephone_number": "641-357-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BUDDY HOLLY PLACE",
            "city": "CLEAR LAKE",
            "state": "IA",
            "postal_code": "504281359",
            "telephone_number": "641-357-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "BRITTNEY",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "BOEHMER",
            "prefix": "MS.",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gwen Hohman-Bultje, PHD
• Stephen A Holbrook, PSYD
• Iarc CL, LLC
• Iinfusion Care LLC
• Integrative Medicine Consultants, Inc.
• Kaylee Jeffrey
• Anne Jones, ARNP
• Carson James Kern
• Suzanne N Kersbergen, DO
• Rick Knudson, PHARM.D., BCPS

• Speech-Language Pathologist in Clear Lake, IA
• Providers in Clear Lake, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.