Gabrielle Marie Boydston

Individual provider Active NPI Speech-Language Pathologist · Johnston, IA

NPI 1336059419 · NPPES record last updated Sep 10, 2026

Key facts

NPI
1336059419
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
140831 (IA)
Practice address
5530 West Pkwy Ste 300
Johnston, IA 50131-2258
Phone
(515) 419-4270
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
No

Medicare participation

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 140831 IA Yes

Addresses

Primary practice location

5530 West Pkwy Ste 300
Johnston, IA 50131-2258

Mailing address

5530 West Pkwy Ste 300
Johnston, IA 50131-2258
Phone (515) 419-4270

Other providers in Johnston, IA

All providers in Johnston, IA · Speech-Language Pathologist in Iowa

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.