Sophia Boettcher, BSCS, NC, MT, DD

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

367 Santana HTS Unit 4014
San Jose, CA 95128-2078

Phone

(425) 961-3003

NPI assigned

Jul 13, 2019

Last updated

May 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1336791961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 SANTANA HTS UNIT 3081",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 SANTANA HTS UNIT 4014",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282078",
            "telephone_number": "425-961-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "BSCS, NC, MT, DD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-13",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolin Anne Boecking, M.D.
• Katherine Boeckman, ASW
• Tyler Boedeker
• Ashely Michelle Boek
• Debra Boethling
• Sandra Michelle Boewer
• Joseph H Bogdan
• Olena V Bogdanova
• Leo H Boger, DDS
• Zachary Ian Boger, DDS

• Case Manager/Care Coordinator in San Jose, CA
• Providers in San Jose, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.