Joan Boonin, MS,CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000918 Issued in MI

Practice address

4488 Jackson Rd Ste 9
Ann Arbor, MI 48103-1812

Phone

(734) 531-6053

Fax

(734) 531-6497

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1700330644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 JACKSON RD STE 9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031812",
            "telephone_number": "734-531-6053",
            "fax_number": "734-531-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 JACKSON RD STE 9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481031812",
            "telephone_number": "734-531-6053",
            "fax_number": "734-531-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONIN",
        "first_name": "JOAN",
        "credential": "MS,CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE#",
            "identifier": "7101000918",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.