Ayanna Boxley, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41YS00783700 Issued in NJ

Practice address

146 Lakeview Drive South
Suite 400
Gibbsboro, NJ 08026-1018

Phone

(856) 209-2347

NPI assigned

Feb 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Boxley Speech Therapy

  • Speech-Language Pathologist
  • Gibbsboro, NJ
  • NPI 1083226740
  NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1639703283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DRIVE SOUTH",
            "address_2": "SUITE 400",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-209-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LAKEVIEW DRIVE SOUTH",
            "address_2": "SUITE 400",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261018",
            "telephone_number": "856-209-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOXLEY",
        "first_name": "AYANNA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00783700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ CONSUMER AFFAIRS SPEECH PATHOLOGIST LICENSE",
            "identifier": "41YS00783700",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@boxleyspeechtherapy.com",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "146 Lakeview Drive South",
            "address_2": "Suite 400",
            "city": "Gibbsboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080261018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bayada Home Health Care, Inc.
• Bloom Therapy Works
• Ray A. Blume, M.A.
• Susan J Blumenfeld, RNCPNP
• Boxley Speech Therapy
• Joslynn Taylor Brown, RN
• Adam Daniel Buchler, RPH
• Angela Acello Buglak, RN
• Charles E Wilkinsjr MD PA
• Chop Clinical Associates, PC (Care Network Gibbsboro)

• Speech-Language Pathologist in Gibbsboro, NJ
• Providers in Gibbsboro, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.