Judy G Boersma, AUDIOLOGIST

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

AT000690L Issued in PA

Practice address

173 Schan Dr
Churchville, PA 18966-1619

Phone

(215) 485-3205

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1124347414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SCHAN DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661619",
            "telephone_number": "215-485-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SCHAN DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661619",
            "telephone_number": "215-485-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERSMA",
        "first_name": "JUDY",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "PA",
            "license": "AT000690L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA AUDIOLOGY LICENSE",
            "identifier": "AT000690L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO AUDIOLOGY LICENSE",
            "identifier": "2009007983",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ AUDIOLOGY LICENSE",
            "identifier": "41YA00072600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Nicholas Alimenti, ATC, NREMT
• Kathryn Ann Barry, DPT
• Michael Anthony Bennett, NP
• Richard M Blaser, DMD
• Howard Aaron Bloom, D.C., C.C.E.P.
• Cheryl Bryant
• Paul Eric Burille, A.T.C.
• Caring Crew LLC
• Chuchville Dental PLLC
• Margaret Mary Cossman, RN, BSN

• Audiologist-Hearing Aid Fitter in Churchville, PA
• Providers in Churchville, PA by specialty
• Audiologist-Hearing Aid Fitter in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.