Active NPI
Jennifer Lee Charity Boecher
- Speech-Language Pathologist
- Farmington Hills, MI
National Provider Identifier
1669813036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 27240 Haggerty Rd
Ste E15
Farmington Hills, MI 48331-5716 - Phone
- (866) 991-0900
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
27240 Haggerty Rd
Ste E15
Farmington Hills, MI 48331-5716
Mailing address
Rural Route 6
Ste 1850
Stilwell, OK 74960
Phone (866) 991-0900
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": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1669813036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RURAL ROUTE 6",
"address_2": "STE 1850",
"city": "STILWELL",
"state": "OK",
"postal_code": "74960",
"telephone_number": "866-991-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27240 HAGGERTY RD",
"address_2": "STE E15",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483315716",
"telephone_number": "866-991-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOECHER",
"first_name": "JENNIFER",
"middle_name": "LEE CHARITY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.