TARA BOORSMA MA, CCC-SLP
NPI 1881167054
Speech-Language Pathologist in Grand Rapids, MI

Q: What is Tara Boorsma's NPI number?

The NPI number for Tara Boorsma is 1881167054. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Tara Boorsma'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 Tara Boorsma was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 January 09, 2019Accepts Medicare Assignment

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

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Tara Boorsma Ma, Ccc-slp NPPES

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

TARA BOORSMA MA, CCC-SLP (NPI 1881167054) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101004329) and active in the NPI registry since January 2019. She is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1881167054

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTARA BOORSMACredential: MA, CCC-SLP

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

Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336

Phone(616) 940-0040

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2014

Enumeration DateJanuary 9, 2019

✔ NPI 1881167054 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 MI · 7101004329

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

Tara Boorsma Ma, 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 ID7618215070

PECOS Enrollment IDI20190208002056

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.

RICHARD KEITH SMEDLEY RMA

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