Active NPI
Katherine Bosch, MS, CCC-SLP
- Speech-Language Pathologist
- Woodbury, MN
National Provider Identifier
1740736578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4542
- Practice address
- 721 Commerce Dr
Woodbury, MN 55125 - Phone
- (612) 767-7222
- NPI assigned
- Aug 31, 2016
- 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 | 4542 | WI | Primary |
Addresses
Primary practice location
721 Commerce Dr
Woodbury, MN 55125
Mailing address
721 Commerce Dr
Woodbury, MN 55125
Phone (612) 767-7222
Other practice location 1
742 Sterbenz Dr
Hudson, WI 54016
Phone (715) 386-2128 ext. 104
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4542 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1740736578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 COMMERCE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "612-767-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 COMMERCE DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "55125",
"telephone_number": "612-767-7222"
}
],
"practiceLocations": [
{
"address_1": "742 Sterbenz Dr",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "WI",
"postal_code": "54016",
"country_code": "US",
"telephone_number": "715-386-2128 x104",
"fax_number": "715-386-6119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOSCH",
"first_name": "KATHERINE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WI",
"license": "4542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.