Angelique K Boerst, MA CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000054 Issued in MI

Practice address

1500 East Medical Center Drive
2ND Floor Taubman Center Recp a
Ann Arbor, MI 48109-4227

Phone

(734) 936-5730

Fax

(734) 615-0544

NPI assigned

Sep 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1912155052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 SOUTH STATE STREET",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DRIVE",
            "address_2": "2ND FLOOR TAUBMAN CENTER RECP A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481094227",
            "telephone_number": "734-936-5730",
            "fax_number": "734-615-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOERST",
        "first_name": "ANGELIQUE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MA   CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": "1601000054",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula L Bockenstedt, MD
• Timothy William Bodnar, MD
• Bodylanguage, LLC (Robin Nwankwo)
• Tedra Boedigheimer, R.N.
• Robert J Boerema, CRNA
• Margaret Elizabeth Boerst, DPT
• Anna Boesch, LLMSW
• Colin Durand Boettcher, M.D.
• Christopher William Bogan, M.D.
• Julia Bogart

• Audiologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.