MS. BRANDI VANBOOVEN (NPI# 1700417615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700417615 |
| Entity Type | Individual |
| Full Name | MS. BRANDI VANBOOVEN |
| Credential | PA-C |
| Practice Address |
1200 E Broadway Columbia MO 65215-1000 |
| Mailing Address |
3707 Banbury Dr Saint Charles MO 63303-3134 |
| Practice Telephone | 6366346120 |
| Mailing Telephone | 6366346120 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085007524 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 E BROADWAY |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65215-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164043352 | Katherine Bollinger | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
| 1902427040 | Brooklynne Elizabeth Fogle | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-29 |
| 1558990382 | Aaron Matthew Cervantes | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-04-03 |
| 1548894454 | Kristen Amanda Fisher | Student in an Organized Health Care Education/Training Program | 1200 E Broadway, Columbia, MO 65215-0001 | 2020-02-29 |
| 1982138038 | Edward R Wilkerson | Specialist/Technologist | 1200 E Broadway, Columbia, MO 65215-1000 | 2017-04-15 |
| 1568653913 | Kimberly K. Smith | Counselor | 1200 E Broadway, Stephens College, Stamper Commons, Columbia, MO 65215-0001 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068175 | Chelsea Gordon Yates | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65215-0001 | 2020-03-23 |
| 1275721110 | Health Connection | Community Health Worker | 1507 E Broadway, Hillcrest Hall, Columbia, MO 65215-0001 | 2007-10-04 |
| 1144820168 | Myles Mcdonald Edwards | Student in an Organized Health Care Education/Training Program | 1211 E Broadway, Columbia, MO 65215-0001 | 2020-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568757 | Iman A Reed | Licensed Practical Nurse | 8 Ashbury Pl, Columbia, MS 39429-3729 | 2020-11-04 |
| 1144821307 | My Concierge Pt LLC | Clinic/Center | 9141 Gracious End Ct Apt 104, Columbia, MD 21046-2095 | 2020-11-04 |
| 1003417585 | Alexis Jacobs | Clinic/Center | 100 Mondamin Rd, Columbia, SC 29210-8216 | 2020-11-03 |
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1659972909 | Sheila L Knight | Home Health Aide | 412 Waterville Dr, Columbia, SC 29229-8131 | 2020-11-03 |
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1417558057 | Roberto Selonk Buechele | Dentist | 460 Killian Rd Ste 1, Columbia, SC 29203-9742 | 2020-11-02 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1447851084 | Paris Gartmon | Nurse Practitioner | 630 Canalside St Unit 1016, Columbia, SC 29201-6030 | 2020-11-02 |
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| Find all providers in COLUMBIA | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619500691 | Ivanka M Mora | Physician Assistant | 5910 Watch Chain Way Apt 603, Columbia, MD 21044-3875 | 2020-02-18 |
| 1316579287 | Christina Verzi | Physician Assistant | 5681 Columbia Rd Apt 301, Columbia, MD 21044-1960 | 2020-02-10 |
| 1225668064 | Steven Ebers | Physician Assistant | 1201 International Dr, Columbia, MO 65202-1612 | 2020-01-21 |
| 1780228197 | Jeremy M Barth | Physician Assistant | 5886 Morningbird Ln, Columbia, MD 21045-3508 | 2019-10-30 |
| 1730749920 | Ann Marie Schlafly | Physician Assistant | 1 Hospital Drive, Mc 413, Columbia, MO 65212-0001 | 2019-06-19 |
| 1619532363 | Casey Burner Skinner | Physician Assistant | 2126 Tugaloo Ave, Columbia, SC 29205-3330 | 2019-05-08 |
| 1205491040 | Meghan Catherine Monk | Physician Assistant | 229 Route 87, Columbia, CT 06237-1050 | 2019-05-07 |
| 1124594999 | Candace Rachel Skulkety | Physician Assistant | 612 Whaley St Apt 348, Columbia, SC 29201-6329 | 2018-10-19 |
| 1508346396 | Hannah Marie Dewes | Physician Assistant | 3 Medical Park Rd #310, Columbia, SC 29203 | 2018-08-21 |
| 1295236438 | Helen Mckinney | Physician Assistant | 234 Castlebury Dr, Columbia, SC 29229-7566 | 2018-02-22 |
| Find all providers in COLUMBIA | ||||
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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.