Audrey Bohlmann

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12860 Issued in AZ

Practice address

3224 S Sanctuary LN
Flagstaff, AZ 86005-8000

Phone

(623) 302-8712

NPI assigned

May 9, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620518400000",
    "number": "1669056388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39136 N ACADIA WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863769",
            "telephone_number": "623-302-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 S SANCTUARY LN",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860058000",
            "telephone_number": "623-302-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLMANN",
        "first_name": "AUDREY",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-05-09",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Gems ABA Az LLC
• Darren Blue
• Deborah Bodin, P.T., M.P.T.
• Adam Keith Boettcher, M.D.
• Shannon Lyons Boffeli, APRN
• James Dean Bohn, CRNA
• Nadine Bohn, RDH
• William Boland
• Bolt Ons
• Timothy John Bonatus, MD

• Speech-Language Assistant in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2021; 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.