Andrea Boarman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14340068 Issued in KY

Practice address

3520 New Hartford Rd Ste 305
Owensboro, KY 42303-4636

Phone

(270) 240-3681

NPI assigned

Jan 6, 2023

Last updated

Jan 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speech Therapy Services LLC

  • Speech-Language Pathologist
  • Owensboro, KY
  • NPI 1487464467
  Medicare reassignment NPD

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1053025957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MIDDLEGROUND DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014109",
            "telephone_number": "270-316-3542",
            "fax_number": "270-240-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NEW HARTFORD RD STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034636",
            "telephone_number": "270-240-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARMAN",
        "first_name": "ANDREA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "14340068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Eye Care, PLLC
• Bluegrass Family Allergy, PLLC
• Bluegrass Internal Medicine PLLC
• Bluegrass Mind Counseling Services
• Amber Elizabeth Boarman, SLP
• Chandra Nichole Boarman, COTA/L
• Jill Boeglin
• Marla D Boehman, LCSW
• Boldage Pace Kentucky LLC
• Sarah Marie Boles, DPT

• Speech-Language Pathologist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.