Emily Hillman Bolling, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4974 Issued in AL

Practice address

1754 Oxmoor Rd
Homewood, AL 35209-4056

Phone

(205) 767-9207

Fax

(205) 502-7171

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divergent Therapy Services LLC

  • Speech-Language Pathologist
  • Birmingham, AL
  • NPI 1073368775
  Medicare reassignment NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1336878198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094056",
            "telephone_number": "205-767-9207",
            "fax_number": "205-502-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 OXMOOR RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352094056",
            "telephone_number": "205-767-9207",
            "fax_number": "205-502-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "EMILY",
        "middle_name": "HILLMAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "4974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@boostbirmingham.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1754 Oxmoor Rd",
            "city": "Homewood",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352094056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Travis Blackburn
• Chloe Thomas Blankenhorn, CRNP
• Francois Michel Blaudeau, M.D.
• Lakelyn Bohannon, MSN, CRNP, PMHNP-BC
• Vignir Thor Bollason, D.C.
• Elizabeth Borcherding
• Jeremy Bradley Bowen, PTA
• Austin Warren Bradford, DPT
• Donald Taylor Bragg, M.D.
• James Harrison Brannon, C.C.P.

• Speech-Language Pathologist in Homewood, AL
• Providers in Homewood, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.