Brandi Bosman, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8247 Issued in TN

Practice address

10241 Kingston Pike Ste 3
Knoxville, TN 37922-3240

Phone

(865) 851-9192

NPI assigned

Jul 2, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Discover Speech Therapy, LLC

  • Speech-Language Pathologist
  • Knoxville, TN
  • NPI 1609394477
  NPD (past)
• Sunshine Spot

  • Speech-Language Pathologist
  • Tampa, FL
  • NPI 1902128069
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1972120269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "fax_number": "865-381-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10241 KINGSTON PIKE STE 3",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223240",
            "telephone_number": "865-851-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSMAN",
        "first_name": "BRANDI",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q082969",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candy Leeann Boruff, RDH
• Jeffrey Scott Boruff, M.D.
• Erin Richmond Borum, PMHNP
• Josilyn R Borum, BCBA, LBA
• Allison Cheyenne Boshears
• Matej Bosnjak, FNP-BC
• Dondrea Bostick
• Curt Boston
• Beth Bostrom
• Sarah A Boswell, PHARMD

• Speech-Language Pathologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.