SHANDA J BOARDMAN (NPI# 1073771879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073771879 |
Entity Type | Individual |
Full Name | SHANDA J BOARDMAN |
Practice Address |
400 E 33rd St Vancouver WA 98663-2238 |
Mailing Address |
305 W Mcloughlin Blvd Apt 4 Vancouver WA 98660-2564 |
Practice Telephone | 3606962561 |
Mailing Telephone | 3606962561 |
Enumeration Date | 2008-05-28 |
Last Update Date | 2008-05-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | Other Service Providers |
Street Address |
400 E 33RD ST |
City | VANCOUVER |
State | WA |
Zip Code | 98663-2238 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629099817 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 400 E 33rd St, Vancouver, WA 98663-2238 | 2006-07-22 |
1740631720 | Ashley Hur | Nurse's Aide | 400 E 33rd St, Vancouver, WA 98663-2238 | 2016-06-30 |
1205282225 | Lacey Ritter | Speech-Language Pathologist | 400 E 33rd St, Vancouver, WA 98663-2238 | 2016-05-09 |
1306267737 | Crystal Rose Shutt | Physical Therapy Assistant | 400 E 33rd St, Vancouver, WA 98663-2238 | 2014-01-03 |
1205096872 | Ann Hutchinson | Occupational Therapist | 400 E 33rd St, Vancouver, WA 98663-2238 | 2008-06-16 |
1962661769 | Vancouver Health and Rehabilitation | Skilled Nursing Facility | 400 E 33rd St, Vancouver, WA 98663-2238 | 2008-06-05 |
1790943579 | Makiko Arai | Physical Therapy Assistant | 400 E 33rd St, Vancouver, WA 98663-2238 | 2008-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053946673 | Jessica Maree Carnes | Dental Hygienist | 6505 Nw Cherry Street, Vancouver, WA 98663 | 2020-03-04 |
1598247207 | Kristine Marie Mcginley | Acupuncturist | 100 East 33rd St., Ste 203a, Vancouver, WA 98663 | 2018-08-30 |
1932689460 | Jennifer Fowler | Behavioral Analyst | 1901 Broadway St Apt 103, Vancouver, WA 98663 | 2018-08-15 |
1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
1407344872 | Kyle Besaw | Student in an Organized Health Care Education/Training Program | 300 E 33rd St Ste 100, Vancouver, WA 98663 | 2018-05-01 |
1023521747 | Focal Clinic Inc | Counselor | 3305 Main St Ste 205, Vancouver, WA 98663 | 2017-11-16 |
1215455365 | Thirty Three Oaks, LLC | Skilled Nursing Facility | 400 E. 33rd St., Vancouver, WA 98663 | 2017-09-08 |
1174047690 | Douglas Gangat Uy | Counselor | 1610 C Street, Suite 102, Vancouver, WA 98663 | 2017-07-26 |
1699206243 | Maggie May Mcgraw | Social Worker | 410 E 20th Street, Vancouver, WA 98663 | 2017-03-24 |
1356740328 | Joseph Kelly | Dentist | 1008 Nw 59th St., Vancouver, WA 98663 | 2014-08-15 |
Find all providers in zip 98663 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
1669994166 | Maya Mersal | Specialist | 316 Se 123rd Ave Ste A67, Vancouver, WA 98683-4056 | 2017-07-17 |
1043769334 | Blue Pearl Vancouver | Specialist | 6607 Ne 84th St, Suite 109, Vancouver, WA 98665-2018 | 2016-09-27 |
1194129742 | Gail A Lordi | Specialist | 4013 Ne 158th Ave, Vancouver, WA 98682-7477 | 2014-10-10 |
1922429844 | Reynard Carrie Jr. | Specialist | 5305 Ne 121st Ave Unit 114, Vancouver, WA 98682-6246 | 2013-12-18 |
1891125316 | Allergy & Asthma Centers of The Nw | Specialist | 8614 E Mill Plain Blvd Ste 300, Vancouver, WA 98664-2058 | 2013-11-19 |
1518225176 | Crystal Lee Hartshorn | Specialist | 1004 Ne Minnehaha St, Vancouver, WA 98665-8728 | 2012-05-01 |
1740564038 | Candace Nicoloe Cashmore | Specialist | 109 Se 101st, Vancouver, WA 98663 | 2011-10-05 |
1790087211 | Sandra Jean Bepler | Specialist | 2707 Ne 114th Ave, Suite C, Vancouver, WA 98684-4293 | 2010-12-04 |
Find all providers in VANCOUVER |
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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.