Meghan Elizabeth Boertman

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

715 Terrace St Ste 201
Muskegon, MI 49440-1107

Phone

(231) 830-9376

NPI assigned

Oct 30, 2019

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

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.

• Moka Corporation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Muskegon, MI
  • NPI 1669538419
  NPD (past)

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1245874585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 TERRACE ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 TERRACE ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401107",
            "telephone_number": "231-830-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERTMAN",
        "first_name": "MEGHAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Blough, DO
• Blue Dot
• Scott William Bodenberg
• Kristen Boersema, CRNA
• Sara J Boersma, LMSW
• Hannah Katherine Boes
• Theodore J Boeve, MD
• Wendy A Bohning, PTA
• Bailey Anne Bohrmann, MSW
• Anna Boik, PHARMD

• Behavior Technician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.