Individual provider Active NPI

Roshan Elizabeth Boese, MA CCC SLP

  • Speech-Language Pathologist
  • Woodland Park, CO
National Provider Identifier
1912297409
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.0001917 Issued in CO
Practice address
400 W Midland Ave Ste 230
Woodland Park, CO 80863-3203
Phone
(719) 822-3807
Fax
(719) 466-9586
NPI assigned
Apr 18, 2011
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1451 NE
Speech-Language Pathologist 235Z00000X SLP.0001917 CO Primary

Addresses

Primary practice location

400 W Midland Ave Ste 230
Woodland Park, CO 80863-3203

Mailing address

492 Gray Horse Cir
Woodland Park, CO 80863-8943
Phone (719) 822-3807

Other practice location 1

1330 Quail Lake Loop Ste 200
Colorado Springs, CO 80906-4651
Phone (719) 540-2108

Other practice location 2

3004 W Faidley Ave
Grand Island, NE 68803-4109
Phone (308) 382-0344

Other names 1

  • Roshan Elizabeth Boese Professional name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1451NEMDOccupational Therapist
SLP.0001917COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innerbloom Therapy Speech-Language Pathologist CurrentSince Aug 23, 2020 Accepting new patients
Go Physical Therapy, LLC PastSince Jan 1, 2012 Accepting new patients

Locations

400 W Midland Ave
Ste 100D
Woodland Park, CO 80863

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1912297409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "492 GRAY HORSE CIR",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638943",
            "telephone_number": "719-822-3807",
            "fax_number": "719-466-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MIDLAND AVE STE 230",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808633203",
            "telephone_number": "719-822-3807",
            "fax_number": "719-466-9586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Quail Lake Loop Ste 200",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064651",
            "country_code": "US",
            "telephone_number": "719-540-2108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3004 W Faidley Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Island",
            "state": "NE",
            "postal_code": "688034109",
            "country_code": "US",
            "telephone_number": "308-382-0344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESE",
        "first_name": "ROSHAN",
        "middle_name": "ELIZABETH",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-18",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1451",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0001917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSHAN",
            "last_name": "BOESE",
            "middle_name": "ELIZABETH",
            "credential": "MA CCC SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.