Julianne Marie Bomia, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004037 Issued in MI

Practice address

1908 W Milham Ave
Portage, MI 49024-1232

Phone

(269) 459-6212

Fax

(269) 585-6068

NPI assigned

Dec 21, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1750826079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "616-333-2721",
            "fax_number": "616-719-1932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 W MILHAM AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241232",
            "telephone_number": "269-459-6212",
            "fax_number": "269-585-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2460 Burton St SE",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495464801",
            "country_code": "US",
            "telephone_number": "616-333-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMIA",
        "first_name": "JULIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Frederick Boden, DDS
• Johnathan Christian Bodjack, BA
• Natalie Grace Bohan, PHARMD
• Craig Bolthouse, LLMSW
• Kathy Bolton
• Alejandra Bonola Arambula
• Borgess Medical Center
• Borgess Medical Center
• Lex Wayne Botkin
• Emily S Boulter, OTRL

• Speech-Language Pathologist in Portage, MI
• Providers in Portage, 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 Feb 19, 2019; 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.