Active NPI
Donna Marie Boudreau, PH.D.
- Speech-Language Pathologist
- Greeley, CO
National Provider Identifier
1285806059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01079661
- Practice address
- University of Northern Colorado
Gunter Hall Room 0330
Greeley, CO 80639-0001 - Phone
- (970) 351-2012
- Fax
- (970) 351-1601
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01079661 | MD | Primary |
Addresses
Primary practice location
University of Northern Colorado
Gunter Hall Room 0330
Greeley, CO 80639-0001
Mailing address
University of Northern Colorado
Gunter Hall Room 0330
Greeley, CO 80639-0001
Phone (970) 351-2012
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079661 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1285806059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NORTHERN COLORADO",
"address_2": "GUNTER HALL ROOM 0330",
"city": "GREELEY",
"state": "CO",
"postal_code": "806390001",
"telephone_number": "970-351-2012",
"fax_number": "970-351-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF NORTHERN COLORADO",
"address_2": "GUNTER HALL ROOM 0330",
"city": "GREELEY",
"state": "CO",
"postal_code": "806390001",
"telephone_number": "970-351-2012",
"fax_number": "970-351-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAU",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "01079661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.