Active NPI
Theresa M Schippers-Boler, MA, CCC-SLP
- Speech-Language Pathologist
- Yakima, WA
National Provider Identifier
1679738223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- LL00003588
- Practice address
- 303 S 12TH Ave
Yakima, WA 98902-3112 - Phone
- (509) 453-8248
- NPI assigned
- Jul 23, 2008
- Sex
- Female
- Sole proprietor
- No
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 | LL00003588 | WA | Primary |
Addresses
Primary practice location
303 S 12TH Ave
Yakima, WA 98902-3112
Mailing address
303 S 12TH Ave
Yakima, WA 98902-3112
Phone (509) 453-8248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LL00003588 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL00003588 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1679738223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023112",
"telephone_number": "509-453-8248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S 12TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023112",
"telephone_number": "509-453-8248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIPPERS-BOLER",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL00003588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "LL00003588",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.