Individual provider Active NPI

Amber Elizabeth Boarman, SLP

  • Speech-Language Pathologist
  • Owensboro, KY
National Provider Identifier
1942914841
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14340067 Issued in KY
Practice address
3520 New Hartford Rd Ste 305
Owensboro, KY 42303-4636
Phone
(270) 240-3680
Fax
(270) 240-3681
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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
Speech-Language Pathologist 235Z00000X 14340067 KY Primary

Addresses

Primary practice location

3520 New Hartford Rd Ste 305
Owensboro, KY 42303-4636

Mailing address

2509 Middleground Dr
Owensboro, KY 42301-4109
Phone (270) 316-3506

Other identifiers 1

IdentifierTypeStateIssuer
265465OtherKYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512002239 KY Practitioner - Qualified Speech Language Pathologist 4981128170 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14340067KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Services LLC Speech-Language Pathologist CurrentSince Mar 30, 2025 Accepting new patients

Locations

3520 New Hartford Rd
Ste 305
Owensboro, KY 42303
Phone (270) 240-3680

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1942914841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 MIDDLEGROUND DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014109",
            "telephone_number": "270-316-3506",
            "fax_number": "270-240-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 NEW HARTFORD RD STE 305",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034636",
            "telephone_number": "270-240-3680",
            "fax_number": "270-240-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARMAN",
        "first_name": "AMBER",
        "middle_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "14340067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "265465",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.