Betty Jane Hogeboon, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017984 Issued in NY

Practice address

2050 State Route 49
North Bay, NY 13123

Phone

(315) 245-2640

NPI assigned

Nov 17, 2011

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1321488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1932476017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 COUNTY ROUTE 11",
            "city": "WEST MONROE",
            "state": "NY",
            "postal_code": "131673208",
            "telephone_number": "315-625-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 STATE ROUTE 49",
            "city": "NORTH BAY",
            "state": "NY",
            "postal_code": "13123",
            "telephone_number": "315-245-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGEBOON",
        "first_name": "BETTY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Powers

• Speech-Language Pathologist in North Bay, NY
• Providers in North Bay, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.