Lisa Bohrer, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18411 Issued in CA

Practice address

151 N Sunrise Ave Ste 1105
Roseville, CA 95661-2931

Phone

(916) 771-8255

Fax

(916) 771-8211

NPI assigned

Apr 23, 2013

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  • Multi-Specialty Clinic/Center
  • Fairfield, CA
  • NPI 1184859894
  NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1780028522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612931",
            "telephone_number": "916-771-8255",
            "fax_number": "916-771-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE STE 1105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612931",
            "telephone_number": "916-771-8255",
            "fax_number": "916-771-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "LISA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "18411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Boggs-Stewart
• Fredrick Nyabayo Bogonko
• George Oguta Bogonko
• Naomi Kerubo Bogonko, RN
• William J Bohan, DMD
• Ornella Bokoch
• Charles Richard Boley II, D.C.
• John C Bolf, PHD
• William James Bollinger III, D.C.
• Jenny Joan Bonacci, RN, CNS, CPNP

• Speech-Language Pathologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.