Allison Board

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.LL.61482202 Issued in WA

Practice address

6011 W 10TH PL
Kennewick, WA 99338-1400

Phone

(509) 222-7700

NPI assigned

Sep 27, 2023

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

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1164201265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 WILLOUGHBY CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402454130",
            "telephone_number": "502-693-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 W 10TH PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993381400",
            "telephone_number": "509-222-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARD",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP.LL.61482202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Blas Matus, RN
• Jason M Bleazard, O.D.
• Jason Bliss, CPC
• Victoria Bliss
• Amy Lynn Bloom, LMHC
• Mikel Cummings Boatman, SUDP
• Vladimir I. Bogin, M.D.
• Vickie Boll, PA-C
• Evelyn Faye Boneck, LMP
• Peter Victorino Bonilla, PHARMD

• Speech-Language Pathologist in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.