Door County Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DOOR COUNTY SPEECH THERAPY

Practice address

62 S 3Rd Ave
Sturgeon Bay, WI 54235-2245

Phone

(920) 495-8288

Fax

(877) 249-4134

NPI assigned

Mar 30, 2019

Organization subpart

No

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

Authorized official

Name

Kristina Bohn, M.ED., CCC/SLPNPI 1023076668

Title

Speech Language Pathologist

Phone

(920) 495-8288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristina Bohn, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Sturgeon Bay, WI
  • NPI 1023076668
  NPD (past) Authorized official

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1578024535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N GENEVA AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353340",
            "telephone_number": "920-495-8288",
            "fax_number": "877-249-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 S 3RD AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352245",
            "telephone_number": "920-495-8288",
            "fax_number": "877-249-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOR COUNTY SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BOHN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "920-495-8288",
        "authorized_official_credential": "M.ED., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Door County Memorial Hospital
• Door County Memorial Hospital
• Door County Memorial Hospital
• Door County Memorial Hospital
• Door County Memorial Hospital Ministry Health Care
• Door County Young Men'S Christian Association Inc
• Michael Draize, RPH
• Taylor Marie Drohman
• Ashley N Earwood, COTA
• Sara Downing Edwards, M.A., ABD, L.P.C.

• All providers in Sturgeon Bay, WI
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.