Individual provider Active NPI

Kristy Lyn Bosse, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Dry Ridge, KY
National Provider Identifier
1245353861
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
138937 Issued in KY
Practice address
940 Reeves Rd
Dry Ridge, KY 41035-8335
Phone
(859) 824-0309
NPI assigned
Apr 9, 2007
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 138937 KY Primary

Addresses

Primary practice location

940 Reeves Rd
Dry Ridge, KY 41035-8335

Mailing address

940 Reeves Rd
Dry Ridge, KY 41035-8335
Phone (859) 393-4742

Other practice location 1

825 Tiffanie Ct
Lexington, KY 40514-4082
Phone (859) 393-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
138937KYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1245353861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 REEVES RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410358335",
            "telephone_number": "859-393-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 REEVES RD",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410358335",
            "telephone_number": "859-824-0309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Tiffanie Ct",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405144082",
            "country_code": "US",
            "telephone_number": "859-393-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "KRISTY",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "138937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dry Ridge, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.