Danelle Ann Bostwick, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2539154 Issued in WI

Practice address

111 W Jackson St
Wisconsin Rapids, WI 54495-2702

Phone

(715) 421-8848

Fax

(715) 421-8693

NPI assigned

Jan 9, 2012

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 names 1

• Danelle Ann James Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Wood

  • Skilled Nursing Facility
  • Port Edwards, WI
  • NPI 1013915339
  NPD (past)

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1851661748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WINDSOR CT APT 8",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674153",
            "telephone_number": "715-498-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W JACKSON ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544952702",
            "telephone_number": "715-421-8848",
            "fax_number": "715-421-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "DANELLE",
        "middle_name": "ANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2539154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANELLE",
            "last_name": "JAMES",
            "middle_name": "ANN",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bradley S Boettcher, MD
• Sheena Christine Bohl, LPC
• Kathy M Bohman, OTR
• Amanda Jo Bohn, D.C.
• Jennifer J Borchardt, LCSW CSAC
• Philip Michael Bovet, DO, MPH
• Pamela K Brayton, MS,CCC-SLP
• Jackie Bredl-Dietrich, PCC
• Amy Elizabeth Brehm, LMFT
• Shelby Lynn Brever, MS, LAT, ATC

• All providers in Wisconsin Rapids, WI
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.