Active NPI
Roshan Elizabeth Boese, MA CCC SLP
- Speech-Language Pathologist
- Woodland Park, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP.0001917
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1451 | NE | MD | Occupational Therapist |
| SLP.0001917 | CO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innerbloom Therapy | Speech-Language Pathologist | Current | Accepting new patients |
| Go Physical Therapy, LLC | Past | 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.
-
- Speech-Language Pathologist
- Woodland Park, CO
- NPI 1881206647
-
- Physical Therapist
- Grand Island, NE
- NPI 1184627911
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.