Kacie Bohlmann, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15376 Issued in CA

Practice address

675 Ygnacio Valley Rd Ste B207
Walnut Creek, CA 94596-3811

Phone

(510) 250-9199

Fax

(888) 429-1415

NPI assigned

Feb 1, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Seven Bridges Speech Pathology Inc

  • Speech-Language Pathologist
  • Martinez, CA
  • NPI 1508309113
  NPD (past)
• Sutter East Bay Medical Foundation

  • Clinical Medical Laboratory
  • Berkeley, CA
  • NPI 1831381623
  NPD (past)

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1134710239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2297 REES CIR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945507108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD STE B207",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963811",
            "telephone_number": "510-250-9199",
            "fax_number": "888-429-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMANN",
        "first_name": "KACIE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Boer
• Christine Boesch
• Amy Boggs
• Leila Bogner, LMFT
• Danielle Bohan, PA-C
• Pamela Susan Bohrer, MD
• Noam Boiarsky
• Ileana Boitor, MD
• Negar Boloorchi, D.D.S.
• Cindy Ann Bolter, PMHNP-BC

• Speech-Language Pathologist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.