Rebecca S Bolda, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

628-154 Issued in WI

Practice address

6735 W Bradley Rd
Milwaukee, WI 53223-3325

Phone

(414) 354-3300

NPI assigned

Apr 29, 2008

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 identifiers 1

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1073788154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233325",
            "telephone_number": "414-354-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233325",
            "telephone_number": "414-354-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDA",
        "first_name": "REBECCA",
        "middle_name": "S",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "628-154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42698000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M Bokerman, MD
• Rehman F Bokhari, DO
• Michelle Boknevitz, M.S., PC-IT, SAC-IT
• Terry E Bolan, DDS
• Alexandra Boland-Goldberg
• Dionne Denice Bolden-Ramsey, LPN
• Tekiara Bolden-Ward, LCSW
• Allison M Bolden, PA
• Ebony Monique-Sherell Bolden
• Rhonda R Boldt, MD

• Speech-Language Pathologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.