MRS. DANAE BOORSMA (NPI# 1649679473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649679473 |
| Entity Type | Individual |
| Full Name | MRS. DANAE BOORSMA |
| Other Name | DANAE ROE |
| Credential | R.N., P.H.N., N.P. |
| Practice Address |
18433 Roscoe Blvd Ste 206 Northridge CA 91325-4108 |
| Practice Telephone | 8182804268 |
| Mailing Telephone | 8182804268 |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95001127 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER LICENSE | 95001127 | 01 |
| Street Address |
18433 ROSCOE BLVD STE 206 |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053387886 | Allan Abraham Shook | Specialist | 18433 Roscoe Blvd, Suite 202, Northridge, CA 91325-4108 | 2006-02-23 |
| 1033607189 | Fariba Kohanghadosh | Dentist | 18433 Roscoe Blvd, Northridge, CA 91325-4108 | 2018-04-24 |
| 1073031605 | Jennifer Michelle Melman | Nurse Practitioner | 18433 Roscoe Blvd, Suite 240, Northridge, CA 91325 | 2017-09-04 |
| 1992160345 | Elmira L Carpio | Registered Nurse | 18433 Roscoe Blvd, Suite 206, Northridge, CA 91325-4108 | 2015-12-29 |
| 1932520079 | Mehvish Abbasi | Nurse Practitioner | 18433 Roscoe Blvd, #106, Northridge, CA 91325-4108 | 2013-12-16 |
| 1699085340 | Optumcare Management, LLC | Non-Pharmacy Dispensing Site | 18433 Roscoe Blvd, 206, Northridge, CA 91325-4108 | 2010-10-15 |
| 1457674343 | Allan A. Shook,m.d. A Medical Corporation | Internal Medicine | 18433 Roscoe Blvd, Ste. 202, Northridge, CA 91325-4108 | 2010-03-05 |
| 1285961789 | Dayan Kamal Gandhi | Internal Medicine | 18433 Roscoe Blvd, 202, Northridge, CA 91325-4108 | 2009-11-04 |
| 1740412741 | Angelica Brielle O'boyle | Audiologist | 18433 Roscoe Blvd, Suite 204, Northridge, CA 91325-4108 | 2009-08-10 |
| 1609005479 | William Yang | Internal Medicine | 18433 Roscoe Blvd, Suite #202, Northridge, CA 91325-4108 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164166 | Aimon Sangwanpanich | Nurse Practitioner | 8520 Shirley Ave, Northridge, CA 91324-4149 | 2020-11-02 |
| 1396351326 | Vanessa Katrina Murillo | Nurse Practitioner | 17075 Devonshire St Ste 303, Northridge, CA 91325-5412 | 2020-09-15 |
| 1508421991 | Irenea De Gala Macatangay | Nurse Practitioner | 18424 Lemarsh St Unit 32, Northridge, CA 91325-1064 | 2019-05-01 |
| 1578127429 | Thy Hominh Nguyen | Nurse Practitioner | 19040 Community St, Northridge, CA 91324-4404 | 2019-04-25 |
| 1255804035 | Maria Aileen Que | Nurse Practitioner | 18350 Roscoe Blvd Ste 303, Northridge, CA 91325-4157 | 2019-01-04 |
| 1063920296 | Roam Healthcare, Inc., A Professional Nursing Corporation | Nurse Practitioner | 18175 Eccles St, Northridge, CA 91325-3721 | 2018-01-23 |
| 1811432172 | John Surry Bell Jr. | Nurse Practitioner | 10251 Hadley Ave, Northridge, CA 91324-1118 | 2016-12-22 |
| 1902216161 | Carolina Silva | Nurse Practitioner | 18350 Roscoe Blvd Ste 101, Northridge, CA 91325-4145 | 2014-04-28 |
| 1013338763 | Alicia E Lane | Nurse Practitioner | 19346 Nordhoff St, Northridge, CA 91324-2415 | 2013-12-26 |
| 1639456981 | Rosemary Virginia Sanders-davis | Nurse Practitioner | 7744 Jellico Ave, Northridge, CA 91325-4510 | 2011-11-14 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
Please comment or provide details below to improve the information on MRS. DANAE BOORSMA.
| 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.