Natasha Paulina Boylan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113299 Issued in TX

Practice address

370 W Highway 121
Ste. 105
Coppell, TX 75019

Phone

(214) 222-5027

NPI assigned

Mar 16, 2018

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1881197705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 PRECINCT LINE RD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543132",
            "telephone_number": "817-479-7019",
            "fax_number": "817-479-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W HIGHWAY 121",
            "address_2": "STE. 105",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "214-222-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLAN",
        "first_name": "NATASHA",
        "middle_name": "PAULINA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Susan Bonilla, RDH
• Nicole Bonilla, CCC-SLP
• Trevor S. Bonilla, D.D.S., M.S., P.A.
• Alex Bott, OTR
• Cotey Bowman, LPC INTERN
• Beline Marie Boyle, RN, MS, CPNP
• Brandon H. Horton, DDS, PC
• Joshua Ralph Bremseth, DPT
• Nicole Brin, CCC-SLP
• Ashley Brister, FNP-C

• Speech-Language Pathologist in Coppell, TX
• Providers in Coppell, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.

Verify at the official NPI Registry.