STEPHEN PAUL BOERSMAN (NPI# 1578981460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578981460 |
Entity Type | Individual |
Full Name | STEPHEN PAUL BOERSMAN |
Credential | PSYCHIATRIC NP |
Practice Address |
1900 E Parham Rd Henrico VA 23228-2206 |
Mailing Address |
450 Garrisonville Rd Ste 109 Stafford VA 22554-1532 |
Practice Telephone | 5406992324 |
Practice Fax Number | 5406996548 |
Mailing Telephone | 7035222727 |
Mailing Fax Number | 7035423753 |
Enumeration Date | 2014-03-29 |
Last Update Date | 2019-10-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024171593 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1900 E PARHAM RD |
City | HENRICO |
State | VA |
Zip Code | 23228-2206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497316442 | Eae Psychiatry LLC | Nurse Practitioner | 1900 E Parham Rd, Henrico, VA 23228-2206 | 2019-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992356976 | Nimos Trans LLC | Non-emergency Medical Transport (VAN) | 5608 Tumbleweed Cr. Apt (h), Henrico, VA 23228 | 2019-09-21 |
1245890433 | Laura Mary Walton | Counselor | 5500 Staples Mill Road, Richmond, VA 23228 | 2019-06-19 |
1841859121 | Rachel S Ford | Behavior Technician | 1640 E. Parham Road, Richmond, VA 23228 | 2019-06-10 |
1932766631 | Nathan Ellis | Behavior Technician | 1640 East Parham Road, Richmond, VA 23228 | 2019-05-29 |
1922545268 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4008 E Parham Rd., Henrico, VA 23228 | 2017-01-25 |
1205371663 | Simple Solutions Psychiatry | Community/Behavioral Health | 4321 Kanipe Ct, Richmond, VA 23228 | 2016-12-21 |
1417406224 | Dan A Kniffen Lcsw LLC | Counselor | 4100 East Parham Road, Suite B, Henrico, VA 23228 | 2016-09-22 |
1316334394 | Bobbi Southard | Specialist/Technologist | 8301 Hungary Spring Road, Richmond, VA 23228 | 2015-04-17 |
1265836050 | Crystal Mcfaddin | Nurse Practitioner | 4301 East Parham Road, Henrico, VA 23228 | 2014-10-22 |
1013352376 | Pooja Rao | Internal Medicine | 4100 New Hermitage Dr, Henrico, VA 23228 | 2013-04-30 |
Find all providers in zip 23228 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487625836 | Pamela Rogers Faulkner | Nurse Practitioner | 3721 Westerre Pkwy, Suite 7f, Henrico, VA 23233-1332 | 2006-02-01 |
1497316442 | Eae Psychiatry LLC | Nurse Practitioner | 1900 E Parham Rd, Henrico, VA 23228-2206 | 2019-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578160875 | Tricia Daigle Northington | Nurse Practitioner | 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 | 2020-10-08 |
1114524543 | Alliance Mental Health LLC | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 | 2020-10-08 |
1699372060 | Shari Chism Medley | Nurse Practitioner | 1088 Bagwell Dr, Scottsburg, VA 24589-2709 | 2020-10-07 |
1225635683 | Kevina Boone | Nurse Practitioner | 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 | 2020-10-07 |
1548876618 | Jamie Kim | Nurse Practitioner | 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 | 2020-09-23 |
1134734957 | Ai H Garner | Nurse Practitioner | 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 | 2020-09-09 |
1679185573 | Shaping Your Future Psychiatry | Nurse Practitioner | 1534 Bateau Lndg, Chesapeake, VA 23321-6603 | 2020-08-20 |
1235749714 | Germaine Kelley-pope | Nurse Practitioner | 622 Westover Hills Blvd, Richmond, VA 23225-4521 | 2020-08-09 |
1164031779 | Georgina Rose Chidaushe | Nurse Practitioner | 46760 Vermont Maple Ter, Sterling, VA 20164-2234 | 2020-07-29 |
1689292575 | Harpreet Kang | Nurse Practitioner | 2925 Calcutt Dr, Midlothian, VA 23113-2682 | 2020-07-08 |
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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.