Julie Ann Bol, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12038548 Issued in MI

Practice address

6376 Quail Run Dr
Kalamazoo, MI 49009-2811

Phone

(269) 544-3764

Fax

(269) 544-3767

NPI assigned

Mar 21, 2012

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)

Enrolled

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.

• Kalamazoo Functional Rehabiliation- Therapy Team LLC

  • Speech-Language Pathologist
  • Kalamazoo, MI
  • NPI 1902154388
  NPD (past) Authorized official

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1194090332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 OLD COLONY RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084915",
            "telephone_number": "269-870-6459",
            "fax_number": "269-978-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6376 QUAIL RUN DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092811",
            "telephone_number": "269-544-3764",
            "fax_number": "269-544-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "12038548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taeler Bohm
• Bryon A Bohnet, OD
• Trent Bohrmann
• Amy Boileau, COUNSELOR
• Jordan T Boivin, MD
• Kayla Bolden
• Margaret Ann Boles, R.N.
• Bryon David Boley, MD
• Karla S Bolkcom, M.A.
• Lauren Ashley Bolt, NP

• Speech-Language Pathologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.