Patricia Ann Boudreaux, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

109722 Issued in TX

Practice address

714 93Rd St
Galveston, TX 77554-7186

Phone

(719) 459-3670

NPI assigned

Aug 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1295016582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 93RD ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775547186",
            "telephone_number": "719-459-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 93RD ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775547186",
            "telephone_number": "719-459-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "01071538",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nahal Boroumand, MD
• Liliane A Borquaye, MD
• Alexander Maxwell Bosley, MD
• Lindsey Nicole Bosma
• Catherine A Bouboulis, WHCNP
• Julien Bourgeois, MD
• Sydney Faye Bowman, MD
• Barbara Jane Box-Jones, PAC
• Michael C Boyars, MD
• Megan Bradley, MD

• Speech-Language Pathologist in Galveston, TX
• Providers in Galveston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.