TARYN NICOLE BOOM (NPI# 1669855151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669855151 |
| Entity Type | Individual |
| Full Name | TARYN NICOLE BOOM |
| Credential | DNP, APRN, CNP |
| Practice Address |
300 2nd Ave Ne Jamestown ND 58401 |
| Mailing Address |
300 2nd Ave Ne Jamestown ND 58401-3373 |
| Practice Telephone | 7012516000 |
| Mailing Telephone | 7012516000 |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R34186 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 2ND AVE NE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457752 | Paula M Marker | Physical Therapist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2006-06-18 |
| 1508489873 | Andrea Christine Boerger | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2020-05-21 |
| 1871079541 | Deanna Joyce Weiser | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401 | 2018-07-16 |
| 1568968394 | Rebecca Anne Kuss | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2018-04-02 |
| 1245742337 | Brady Wendell Anderson | Physician Assistant | 300 2nd Ave Ne, Jamestown, ND 58401 | 2017-10-29 |
| 1275984635 | Carla Aberle | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-06-28 |
| 1932557360 | Tina Bear | Registered Nurse | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2016-05-26 |
| 1316316821 | Joleen Sprenger | Counselor | 300 2nd Ave Ne, #221, Jamestown, ND 58401-3373 | 2015-09-15 |
| 1679956635 | Teresa Rittenbach | Nurse Practitioner | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-07-08 |
| 1457748006 | Briana Bohn | Optometrist | 300 2nd Ave Ne, Jamestown, ND 58401-3373 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265997175 | Micah Sellew | Nurse Practitioner | 321 E Central Ave, Jamestown, TN 38556-4103 | 2019-02-05 |
| 1487148466 | Heather Sue Mendell | Nurse Practitioner | 2111 Buffalo Street Ext, Jamestown, NY 14701-9259 | 2018-06-21 |
| 1831620152 | Elizabeth Gattman | Nurse Practitioner | 36 Vinnie St, Jamestown, NY 14701-7327 | 2017-03-27 |
| 1154763134 | Hometown Family Medical Clinic | Nurse Practitioner | 418 B West Central Avenue, Jamestown, TN 38556 | 2013-07-19 |
| 1295072536 | Christopher Davis | Nurse Practitioner | 221 Gaskin Road, Jamestown, KY 42629-0000 | 2013-01-07 |
| 1578812087 | Jamestown Family Care Clinic, LLC | Nurse Practitioner | 1010 Old Highway 127 South, Jamestown, TN 38556-0068 | 2012-08-30 |
| 1215239231 | Connie S. Lee | Nurse Practitioner | 418 B West Central Ave, Jamestown, TN 38556 | 2010-11-23 |
| 1720302185 | Laquita Lynne Sandman | Nurse Practitioner | 100 Duncan Street, Jamestown, TN 38556-0098 | 2010-03-15 |
| 1033350152 | Jocelyn Rebeccah Chermak | Nurse Practitioner | 418b Central Ave W, Jamestown, TN 38556-3031 | 2009-03-19 |
| 1740445519 | Lisa A Walter | Nurse Practitioner | 117 Foote Avenue, Suite 100, Jamestown, NY 14701 | 2008-07-22 |
| Find all providers in JAMESTOWN | ||||
Please comment or provide details below to improve the information on TARYN NICOLE BOOM.
| 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.