Taylor Nicole Boraas, MA
Individual provider Active NPI Speech-Language Pathologist · Waconia, MN
NPI 1558076406 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1558076406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 9346 Oak Ave
Waconia, MN 55387-9422 - Phone
- (952) 223-2506
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- University of Minnesota, Duluth School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sunnydays Therapy Inc
Practice addresses (Care Compare)
5232 Kyler Ave NE
Suite a
Albertville, MN 55301-4634
Phone (952) 223-2506
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231006002702 | MN | Practitioner - Qualified Speech Language Pathologist | 3375998644 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunnydays Therapy Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Autism Matters, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Locations
5232 Kyler Ave NE
Ste A
Albertville, MN 55301
9346 Oak Ave
Waconia, MN 55387
Phone (952) 442-5812
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
9346 Oak Ave
Waconia, MN 55387-9422
Mailing address
9346 Oak Ave
Waconia, MN 55387-9422
Phone (952) 223-2506
Other providers in Waconia, MN
- Patricia Estela Blumenreich
- Darrin Lee Bockelmann
- Christina Bodem
- Ashlyn Boehmer
- Jessica R Bonifas
- Meghan Borowski
- Kelly Marie Borreson
- Erica Bossert
- Emily Rayner Bottoms
- Laura Marie Bowman
All providers in Waconia, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.