Hilary Sundboom

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

161 Klevin St
Suite 103
Anchorage, AK 99508-1508

Phone

(907) 561-8060

NPI assigned

Jul 18, 2013

Last updated

Aug 22, 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 1

Addresses

Other names 1

• Hilary Berg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Programs for Infants & Children, Inc

  • Pediatric Occupational Therapist
  • Anchorage, AK
  • NPI 1164571238

  Speech-Language Pathologist

  NPD (past)
• Programs for Infants and Children

  • Speech-Language Pathologist
  • Anchorage, AK
  • NPI 1144775768
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1396187332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W 33RD AVE",
            "address_2": "APT 8",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995034706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 KLEVIN ST",
            "address_2": "SUITE 103",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995081508",
            "telephone_number": "907-561-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDBOOM",
        "first_name": "HILARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "BERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tad Sumner, LCSW, CDCI
• Chasity Dawn Sumrall, LPN
• Sundance Ak Care Coordination LLC
• Melissa Ann Sundberg, PT
• William C Sundberg, CPO
• Alicia Sundborg
• Samantha Sundborg
• John L Sundeen, LPC
• Tomas Sundet, OD
• Sundog Wellness LLC

• Speech-Language Pathologist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.