Active NPI
Kristen Boerke
- Speech-Language Pathologist
- Washingtonville, NY
National Provider Identifier
1902770993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 035551-01
- Practice address
- 20 Toleman Rd
Washingtonville, NY 10992-1107 - Phone
- (845) 497-4000
- NPI assigned
- Oct 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 035551-01 | NY | Primary |
Addresses
Primary practice location
20 Toleman Rd
Washingtonville, NY 10992-1107
Mailing address
9 Mandy LN
Washingtonville, NY 10992-2006
Phone (845) 637-4051
Other practice location 1
1314 Ny-208
Washingtonville, NY 10992
Phone (845) 497-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035551-01 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1902770993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MANDY LN",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109922006",
"telephone_number": "845-637-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 TOLEMAN RD",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109921107",
"telephone_number": "845-497-4000"
}
],
"practiceLocations": [
{
"address_1": "1314 NY-208",
"address_purpose": "LOCATION",
"city": "Washingtonville",
"state": "NY",
"postal_code": "10992",
"country_code": "US",
"telephone_number": "845-497-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOERKE",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-02",
"last_updated": "2025-10-02",
"certification_date": "2025-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "035551-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washingtonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.