Individual provider Active NPI

Kelly Elizabeth Bollman, MA, BS

  • Speech-Language Pathologist
  • Santa Rosa, CA
National Provider Identifier
1518872258
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10951 Issued in CA
Practice address
5340 Skylane Blvd
Santa Rosa, CA 95403-8246
Phone
(707) 318-0227
NPI assigned
Aug 17, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10951 CA Primary

Addresses

Primary practice location

5340 Skylane Blvd
Santa Rosa, CA 95403-8246

Mailing address

5340 Skylane Blvd
Santa Rosa, CA 95403-8246
Phone (707) 318-0227

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1518872258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 SKYLANE BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038246",
            "telephone_number": "707-318-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 SKYLANE BLVD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038246",
            "telephone_number": "707-318-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMAN",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "MA, BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "10951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.