MRS. NINO BOISSONNEAULT (NPI# 1881911105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881911105 |
| Entity Type | Individual |
| Full Name | MRS. NINO BOISSONNEAULT |
| Credential | PA-C |
| Practice Address |
307 S. 13th Street, Suite 300 Skagit Regional Clinics - Cardiology Mount Vernon WA 98274 |
| Mailing Address |
1400 E. Kincaid Street Attn: Credentialing Mount Vernon WA 98274-4127 |
| Practice Telephone | 3603369757 |
| Practice Fax Number | 3608145237 |
| Mailing Telephone | 3604282500 |
| Mailing Fax Number | 3604286485 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60257982 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60257982 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60257982 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2016681 | 05 |
| Street Address |
307 S. 13TH STREET, SUITE 300 SKAGIT REGIONAL CLINICS - CARDIOLOGY |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467497321 | Duncan T. Landreth | Internal Medicine | 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274-4109 | 2006-06-17 |
| 1801025812 | Bhrigu R. Parmar | Internal Medicine | 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 | 2009-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| 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 |
|---|---|---|---|---|
| 1982249124 | Leticia B Barrientos | Physician Assistant | 472 Gramatan Ave Apt Bb4, Mount Vernon, NY 10552-2979 | 2019-11-12 |
| 1396390522 | Elizabeth Kuriakose | Physician Assistant | 203 Gramatan Ave Ste A, Mount Vernon, NY 10550-1291 | 2019-08-05 |
| 1174941728 | Lyndsey Switzer | Physician Assistant | 1600 Continental Pl Ste 101, Mount Vernon, WA 98273-5607 | 2014-04-01 |
| 1255585311 | Pamela Welch | Physician Assistant | 5754 Farm Road 21, Mount Vernon, TX 75457-7749 | 2008-11-15 |
| 1881857787 | Telesforo Llamas Jr. | Physician Assistant | 2 Fisher Dr, Apartment 607, Mount Vernon, NY 10552-3666 | 2008-07-10 |
| 1275712614 | Naima R Abdus-salaam | Physician Assistant | 495 N Fulton Ave, Mount Vernon, NY 10552-1909 | 2007-11-02 |
| 1316006588 | Lee Barry Leavelle | Physician Assistant | 107 W 4th Street, Mount Vernon Neighborhood Health Ctr, Mount Vernon, NY 10550 | 2006-12-06 |
| 1215096359 | Patricia Taddeo | Physician Assistant | 107 West Fourth St, Mount Vernon Neighborhood Health Center, Mount Vernon, NY 10550 | 2006-12-06 |
| 1831270065 | Rochelle A, Trussell | Physician Assistant | 1400 E. Kincaid St, Mount Vernon, WA 98274-4127 | 2006-10-17 |
| 1750497061 | Shirley Dallmier | Physician Assistant | 3307 Broadway St Ste 130, Physician Rural Health Clinic of Jefferson County, Mount Vernon, IL 62864-2387 | 2006-08-21 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on MRS. NINO BOISSONNEAULT.
| 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.