AMY SUE BRAAKSMA (NPI# 1679097638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679097638 |
| Entity Type | Individual |
| Full Name | AMY SUE BRAAKSMA |
| Credential | FNP |
| Practice Address |
214 S. Main St. Boulder MT 59632 |
| Mailing Address |
15140 Churchill Rd Manhattan MT 59741-8681 |
| Practice Telephone | 4063354201 |
| Mailing Telephone | 4065399729 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NUR-APRN-LIC-126 | MT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
214 S. MAIN ST. |
| City | BOULDER |
| State | MT |
| Zip Code | 59632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438074 | Wendie J. Vanderwater | Social Worker | 110 Venture Way, Boulder, MT 59632 | 2019-03-28 |
| 1487029336 | Kristin Nicole Fearon | Social Worker | 105 Venture Way, Boulder, MT 59632 | 2015-12-03 |
| 1790171494 | Kayla M. Beadle-reinhardt | Social Worker | 105 Venture Ave, Boulder, MT 59632 | 2015-04-09 |
| 1750404661 | Alliance Outreach Services | Clinic/Center | 512 Capital Heights Dr, Boulder, MT 59632 | 2007-04-06 |
| 1760504310 | Jeni E Leary | Social Worker | 40 Hanging Wall Road, Boulder, MT 59632 | 2007-04-04 |
| 1770080426 | Jessica Nicole Cole | Counselor | 105 Venture Way, Boulder, MT 59632 | 2018-04-10 |
| 1316353105 | Veronica J Champer | Nurse Practitioner | 214 South Main Street, Boulder, MT 59632 | 2014-07-01 |
| 1891830931 | Vermon Craig Barney | Dentist | 211 North Main, Boulder, MT 59632 | 2007-02-20 |
| 1588722383 | Jefferson County Health Department | Public Health or Welfare | 214 South Main Street, Boulder, MT 59632 | 2006-12-05 |
| 1043396054 | Elkhorn Mountain Health Services Inc | Family Medicine | 214 South Main, Boulder, MT 59632 | 2006-10-31 |
| Find all providers in zip 59632 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347247 | Ashley Fanning | Nurse Practitioner | 2750 Broadway St # 100, Boulder, CO 80304-3586 | 2020-02-06 |
| 1659853174 | Radiant Health LLC | Nurse Practitioner | 350 Arapahoe Ave Apt 18, Boulder, CO 80302-5843 | 2018-08-31 |
| 1649658329 | Jeff Ritchie | Nurse Practitioner | 70 S Boulder Cir Apt 7012, Boulder, CO 80303-4265 | 2015-05-13 |
| 1831459692 | Joshua G Tueting | Nurse Practitioner | 1900 Wardenburg, Boulder, CO 80309-1911 | 2012-05-25 |
| 1528215076 | Jessica Tamar Davis | Nurse Practitioner | 4715 Arapahoe Avenue, Boulder, CO 80303 | 2008-08-26 |
| 1518148246 | Tahirah Asimali Asimali | Nurse Practitioner | 3949 19th St, Boulder, CO 80304-1353 | 2007-11-22 |
| 1154525632 | Kathleen A Harding | Nurse Practitioner | 2885 Aurora Ave Ste 15, Boulder, CO 80303-2251 | 2007-06-11 |
| 1407059355 | Jenny Leong Abernathy | Nurse Practitioner | 6685 Gunpark Dr Ste 102, Boulder, CO 80301-3343 | 2007-06-07 |
| 1801822358 | Annette Ellen Percefull | Nurse Practitioner | 2434 Arapahoe Ave, Boulder, CO 80302-7532 | 2006-06-25 |
| 1346223898 | Nancy K Engellenner | Nurse Practitioner | 4745 Arapahoe Ave Ste 320, Boulder, CO 80303-1082 | 2005-11-29 |
| Find all providers in BOULDER | ||||
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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.