MRS. PETRA BOONSTRA (NPI# 1134146178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134146178 |
| Entity Type | Individual |
| Full Name | MRS. PETRA BOONSTRA |
| Other Name | PETRA SCHWELLNUS |
| Practice Address |
5333 Mcauley Drive Suite 2016 Ypsilanti MI 48197 |
| Practice Telephone | 7344343200 |
| Practice Fax Number | 7347123358 |
| Mailing Telephone | 7344343200 |
| Mailing Fax Number | 7347123358 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2014-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000029 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
5333 MCAULEY DRIVE SUITE 2016 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705170 | David Paul Steinberg | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2005-10-28 |
| 1225640162 | Nima Mohamoud Abdi | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-08-21 |
| 1619593860 | Salar Daud | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-06-23 |
| 1871116202 | Elliot Michael Berinstein | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-05-20 |
| 1871112128 | Jessica Montgomery | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-04-15 |
| 1225666373 | Veena Janardan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-04-01 |
| 1427686807 | Grace Elizabeth Chen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-03-31 |
| 1659909380 | Ann Saliares | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-03-30 |
| 1033747688 | Tori Nicole Diedring | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-03-30 |
| 1306307970 | Karina Andrea Pone | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197 | 2019-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225568173 | Alexandra May Stewart | Audiologist | 5333 Mcauley Dr Rm 2016, Ypsilanti, MI 48197-1096 | 2017-06-14 |
| 1972160752 | Kalee Easter | Audiologist | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 | 2019-05-28 |
| 1881188225 | Lauren Dadisho | Audiologist | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197 | 2018-06-19 |
| 1013439314 | Darcy Henrikson | Audiologist | 5333 Mcauley Dr Rm 2017, Ypsilanti, MI 48197-1096 | 2017-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1770100992 | Inman Audiology & Consulting LLC | Audiologist | 1651 W Big Beaver Rd, Troy, MI 48084-3501 | 2020-07-03 |
| 1154941748 | Ashley Bookmyer | Audiologist | 1445 Sheldon Rd Ste 303, Grand Haven, MI 49417-2479 | 2020-04-23 |
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1679121628 | Kati Lynn Stilwell | Audiologist | 901 W Sharon Ave Ste 9, Houghton, MI 49931-1964 | 2019-09-03 |
| 1063068500 | Marla Chaffee | Audiologist | 26850 Providence Pkwy Ste 165, Novi, MI 48374-1255 | 2019-08-12 |
| 1952962201 | Hannah Barclay Reeg | Audiologist | 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085-2180 | 2019-06-27 |
| 1356906051 | Viet Han Huu Nguyen | Audiologist | 4175 N Euclid Ave Ste 10, Bay City, MI 48706-2483 | 2019-05-08 |
| 1922570381 | Superior Audiology, LLC | Audiologist | 333 Magazine St Ste 103, Sault Sainte Marie, MI 49783-1867 | 2018-12-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. PETRA BOONSTRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.