Te'Ara Sharae Bouldin
NPI 1861235012ActiveIndividual· Speech-Language Pathologist· Warner Robins, GA
Speech-Language Pathologist in Warner Robins, Georgia, licensed in GA, with an NPI issued in June 2024. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1861235012 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 17, 2024 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP013078 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (GA) |
|---|
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