MRS. JANNA MARIE BOOMSTRA M.A., CCC-SLP
NPI 1225270648
Speech-Language Pathologist in Grand Rapids, MI

Q: What is Janna Boomstra's NPI number?

The NPI number for Janna Boomstra is 1225270648. It was assigned to this individual provider in the NPPES registry on March 31, 2009.

Q: What is Janna Boomstra's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Janna Boomstra was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 31, 2009Accepts Medicare Assignment

1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040(616) 940-8151 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Janna Marie Boomstra M.a., Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JANNA MARIE BOOMSTRA M.A., CCC-SLP (NPI 1225270648) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101000076) and active in the NPI registry since March 2009. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1225270648

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. JANNA MARIE BOOMSTRACredential: M.A., CCC-SLP

Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336

Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336 · (616) 940-0040 · Fax (616) 940-8151

Phone(616) 940-0040

Fax(616) 940-8151

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMarch 31, 2009

Last NPPES UpdateAugust 25, 2021

NPPES CertifiedAugust 25, 2021

✔ NPI 1225270648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

Licenses✔ Licensed in MI · 7101000076✔ Licensed in MI · 09142641

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1490 E BELTLINE AVE SE, Grand Rapids, MI 49506

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Janna Marie Boomstra M.a., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840450482

PECOS Enrollment IDI20120320000112

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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