Ami Bouterse

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6206-154 Issued in WI

Practice address

4235 Green Bay Rd
Kenosha, WI 53144-4516

Phone

(262) 652-1418

NPI assigned

Jun 2, 2023

Last updated

Jun 2, 2023By 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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1932892171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10319 81ST ST",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582028",
            "telephone_number": "262-818-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 GREEN BAY RD",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531444516",
            "telephone_number": "262-652-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTERSE",
        "first_name": "AMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "6206-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise A Borst, RPH CGP
• Brienna Marie Bostanche, DPM
• John L Bostanche, D.P.M.
• Brian Daniel Boston, DMD
• Rommel Ortiz Bote', M.D.
• Robert Bruce Bower, OD
• Katie Lynn Bowers, ATC, LAT, CSCS
• Stephany Rau Brackett, CISW
• Andrea J Brackman, P.A.
• Bradley N. Haugstad, M.D., S.C.

• Speech-Language Pathologist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.