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MARY BOEHM M.A., CCC-SLP
NPI 1629146220
Speech-Language Pathologist in Albuquerque, NM

Active since December 01, 2006
11701 SAN VICTORIO AVE NE, ALBUQUERQUE, NM 87111(505) 293-4259(505) 293-4586 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Nov 1, 2023 (2 updates tracked since 2023).

About Mary Boehm M.a., Ccc-slp NPPES

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

MARY BOEHM M.A., CCC-SLP (NPI 1629146220) is an individual speech-language pathologist provider in Albuquerque, New Mexico, licensed in New Mexico (1913) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1629146220
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY BOEHMCredential: M.A., CCC-SLP
Location Address11701 SAN VICTORIO AVE NEAlbuquerque, NM 87111-5947
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Phone(505) 293-4259
Fax(505) 293-4586
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1629146220 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
License✔ Licensed in NM · 1913
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.
11701 SAN VICTORIO AVE NE, Albuquerque, NM 87111
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Other Identifiers 1

Medicaid349NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Boehm M.a., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mary Boehm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unm Medical Group Inc
7.3 mi
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group
NPI 1831218627 (505) 272-3303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

NICOLE M ESEENMACHER SLP
Speech-Language Pathologist
11701 SAN VICTORIO AVE NE, GEORGIA O'KEEFE ES
ALBUQUERQUE, NM 87111
Bernalillo County (505) 293-4259
RENEE GARCIA SLP
Speech-Language Pathologist
11701 SAN VICTORIO AVE NE, GEORGIA O'KEEFE ES
ALBUQUERQUE, NM 87111
Bernalillo County (505) 293-4259
BARBARA BERLIN OT
Occupational Therapist
11701 SAN VICTORIO AVE NE, GEORGIA O'KEEFFE ES
ALBUQUERQUE, NM 87111
Bernalillo County (505) 293-4259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Boehm's NPI number?

The NPI number for Mary Boehm is 1629146220. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Mary Boehm located?

Mary Boehm practices at 11701 San Victorio Ave NE, Albuquerque, NM 87111. The listed phone number is (505) 293-4259.

What is Mary Boehm's specialty?

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

Is Mary Boehm enrolled in Medicare?

Yes. Mary Boehm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Boehm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boehm reassigns Medicare benefits to Unm Medical Group Inc (Albuquerque, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Boehm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Boehm was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.