MRS. RUSSELL ROY BOERSMA


Address: 9501 Farrell Rd, Fort Belvoir, VA 22060-5901
Phone: 7038050599

MRS. RUSSELL ROY BOERSMA (NPI# 1245221217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245221217
Entity Type Individual
Full Name MRS. RUSSELL ROY BOERSMA
Credential LPN
Practice Address 9501 Farrell Rd
Fort Belvoir
VA 22060-5901
Mailing Address 48 Tavern Rd
Stafford
VA 22554-8814
Practice Telephone 7038050599
Mailing Telephone 5406578750
Enumeration Date 2005-10-31
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164X00000X Licensed Vocational Nurse 159452 CA Nursing Service Providers

Office Location

Street Address 9501 FARRELL RD
City FORT BELVOIR
State VA
Zip Code 22060-5901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134127145 Bonnie L. Breneman Nurse Practitioner 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2005-07-13
1821428806 Samantha Rigby Dietitian, Registered 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2013-11-12
1184998536 Fort Belvoir Community Hospital Special Hospital 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-03-02
1093089757 Ft Belvoir Hospital Outpatient Pharmacy General Acute Care Hospital 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-28
1073886917 Syed H Akhtar Pharmacist 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-22
1104199231 Tiffany Limerick Pharmacist 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-21
1700159936 Mary N Tabot Pharmacist 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-19
1033482534 Sanh Dan Trieu Pharmacist 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-14
1710250212 Thao Phuong Dinh Pharmacist 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2012-02-14
1598045460 Fort Belvoir Community Hospital Military Hospital 9501 Farrell Rd, Fort Belvoir, Va, Fort Belvoir, VA 22060-5901 2011-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447780317 Elizabeth Joy Bier Family Medicine Fort Belvoir Community Hospital 9300 Dewitt Loop, Fort Belvoir, VA 22060 2017-06-14
1518413723 Meredith Rae Cuddy Social Worker 9300 Dewitt Loop, Rivers Pavillion, 2nd Floor, Room R2.403, Fort Belvoir, VA 22060 2016-08-28
1760804041 Edward Burke Nurse Anesthetist, Certified Registered 9300 Dewitt Loop, Sunrise Pavilion, 3rd Flr, Rm 218, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2014-01-06
1972940450 Deepa Ramanathan Elion Clinical Neuropsychologist 5908 9th Street, Building 1259, Intrepid Sprit One, Nicoe, Fort Belvoir, VA 22060 2013-05-24
1861837643 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 8651 John J Kingman, Building 2321, Fort Belvoir, VA 22060 2013-05-07
1609150820 Brittany Rodriguez Physical Therapist 9300 Belvoir Rd, Fort Belvoir, VA 22060 2011-10-06
1457657983 Jacob Macgregor Nurse Anesthetist, Certified Registered 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 2011-02-01
1518291442 Stacie Erin Thomas Speech-Language Pathologist 5980 9th Street, Intrepid Pavillion, Fort Belvoir, VA 22060 2009-09-24
1033347125 David Michael Hanrahan Psychiatry & Neurology 5980 9th Street Building #1259, Fort Belvoir Intrepid Pavillion, Fort Belvoir, VA 22060 2009-06-26
1649459777 Central Care Inc Military Hospital 9501 Farrell Rd Bldg 805, Dewitt Health Care Center, Ft Belvoir, VA 22060 2007-10-25
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Taxonomy Information

Taxonomy Code 164X00000X
Grouping Nursing Service Providers
Classification Licensed Vocational Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932187051 Deanna Michelle Owens Licensed Vocational Nurse 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 2006-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598307936 Robert Phillips Licensed Vocational Nurse 674 Meherrin Rd, South Hill, VA 23970-6522 2019-10-16
1659838357 Aretha Adewetan Licensed Vocational Nurse 955 S Rolfe St Unit B, Arlington, VA 22204-4540 2019-02-28
1114498094 Asia Tinni Licensed Vocational Nurse 127 Green Point Ln, Portsmouth, VA 23702-2419 2018-12-17
1730687641 John Roy Blanton Licensed Vocational Nurse 701 Rustads Cir, Williamsburg, VA 23188-1086 2018-01-25
1447560875 Denise Anderson Anderson Licensed Vocational Nurse 1227 Summit Ave, Portsmouth, VA 23704 2010-10-19
1598995896 Life Matters Missionary Outreach Ministries and Church Licensed Vocational Nurse 5670 Oak Run Ln, Henrico, VA 23228-1940 2009-07-21
1427292523 Lula Maretha Anthony Licensed Vocational Nurse 4041 Pleasant Valley Rd, Virginia Beach, VA 23464-8823 2009-04-21
1639299720 Jovanka Mccoy Licensed Vocational Nurse Usa Meddac Kahc, 700 24th Street Bldg. 8151, Ft Lee, VA 23801-1716 2007-03-30
1922056209 Velma L. Robinson Licensed Vocational Nurse 700 24th St, Ft. Lee, VA 23801-1716 2006-05-05

Competitor

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City FORT BELVOIR
Zip Code 22060

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Dataset Information

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.

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