Roger Boum

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

9330 Round Top Rd Apt B
Cincinnati, OH 45251-2526

Phone

(513) 580-9678

NPI assigned

Jun 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1851917447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 ROUND TOP RD APT B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452512526",
            "telephone_number": "513-580-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 ROUND TOP RD APT B",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452512526",
            "telephone_number": "513-580-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUM",
        "first_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CINCINNATI",
            "affiliation": "N",
            "endpointDescription": "OHIO",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9330 Round Top Rd Apt B",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452512526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachelle M Boudreau, D.D.S.
• Val Russell Boudreau Jr., D.D.S.
• Marjorie Ellen Boudreaux
• Julie M Bouie, CRNA
• Laconia Venaye Bouldin
• Dawn E Bouman, PHD
• Geraldine Bourne
• Isabella Bourne
• Nathan Alan Bourne, PHARMD, MBA
• Michael S Boutet, QMHS

• Home Health Aide in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.