Ashley Boom Buckner, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2408 Issued in ND

Practice address

3120 4TH Ave NW
Minot, ND 58703

Phone

(701) 839-1311

NPI assigned

Jun 6, 2023

Last updated

Aug 11, 2026By 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 1

Addresses

Other names 1

• Ashley Ann Boom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1114611894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 OLIVE TREE CIR NE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-709-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 4TH AVE NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58703",
            "telephone_number": "701-839-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "ASHLEY",
        "middle_name": "BOOM",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "2408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "BOOM",
            "middle_name": "ANN",
            "credential": "CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Kae Bruce
• Joesph Bruffy
• Zackary Bucher
• Alexander Lee Buchholz, MD
• Connie A Buck, OTR/L
• Meredith Poynot Budgeon, AU.D.
• Brett J Buican, PHD
• Christine Ann Burcham
• Kristy Burchell
• Burckhard Clinic, P. C.

• Speech-Language Pathologist in Minot, ND
• Providers in Minot, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.