IRMA SULEJMANOVIC-BORDEAUX


Address: 402 S 12th Ave, Yakima, WA 98902-3115
Phone: 5095750114

IRMA SULEJMANOVIC-BORDEAUX (NPI# 1902238553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902238553
Entity Type Individual
Full Name IRMA SULEJMANOVIC-BORDEAUX
Credential ARNP
Practice Address 402 S 12th Ave
Yakima
WA 98902-3115
Mailing Address 501 S 5th Ave
Yakima
WA 98902-3550
Practice Telephone 5095750114
Practice Fax Number 5095750808
Mailing Telephone 5094946700
Mailing Fax Number 5095736275
Enumeration Date 2013-08-06
Last Update Date 2018-11-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60553295 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
111558 NE Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR AND INDUSTRIES 0345640 01
WA 2045286 05

Office Location

Street Address 402 S 12TH AVE
City YAKIMA
State WA
Zip Code 98902-3115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356393383 Yakima Valley Professional Services On 12th, PC Clinic/Center 402 S 12th Ave, Yakima, WA 98902-3115 2006-05-17
1568097210 Amy D Skiles Registered Nurse 402 S 12th Ave, Yakima, WA 98902-3115 2020-03-03
1245720036 Sarah Jane D Rapanut Case Manager/Care Coordinator 402 S 12th Ave, Yakima, WA 98902-3115 2018-05-16
1790203628 Meghan E Colleran Nurse Practitioner 402 S 12th Ave, Yakima, WA 98902-3115 2017-08-30
1063944197 Anna L Snyder Pediatrics 402 S 12th Ave, Yakima, WA 98902-3115 2017-03-29
1962953091 April K May Registered Nurse 402 S 12th Ave, Yakima, WA 98902-3115 2016-10-24
1609240563 Rishi S Mistry Nurse Practitioner 402 S 12th Ave, Yakima, WA 98902-3115 2015-11-16
1124457981 Michelle L. Linsley Counselor 402 S 12th Ave, Yakima, WA 98902-3115 2013-11-02
1194067504 Peter Gyimah Asante Jr. Pediatrics 402 S 12th Ave, Yakima, WA 98902-3115 2013-03-24
1275821472 Gary Dean Burton Jr. Pharmacist 402 S 12th Ave, Yakima, WA 98902-3115 2011-07-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922653203 Laboratory Corporation of America Clinical Medical Laboratory 314 S 11th Ave Suite A, Yakima, WA 98902 2019-08-05
1669967865 Rebecca Schrader Speech-Language Pathologist Children's Village 3801 Kern Road, Yakima, WA 98902 2018-06-29
1720572928 Hyperbaric Centers of Washington Preventive Medicine 302 S. 12th Ave., Yakima, WA 98902 2018-06-20
1487155503 Courtney Lombardi Nurse Practitioner 1515 W Yakima Ave, Yakima, WA 98902 2018-02-23
1003329665 Maria-elena Mendoza Case Manager/Care Coordinator 918 E Mead Avenue, Yakima, WA 98902 2017-11-06
1679017610 Claudia Zepeda Massage Therapist 3908 Creekside Loop Ste # 110, Yakima, WA 98902 2016-12-09
1093194425 Silas Klaver Podiatrist 1607 Creekside Loop Ste 140, Yakima, WA 98902 2015-05-18
1821490905 Jen Lynn Silver Massage Therapist 3512 Tieton Dr, Yakima, WA 98902 2014-09-20
1194131383 Brenna Claire Hayes Genetic Counselor, MS 2903 W Walnut, Yakima, WA 98902 2014-07-08
1720400435 Agnes Nadine Jeske Speech-Language Pathologist 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 2014-01-15
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386282325 Deanne Shollenberger Nurse Practitioner 6101 Summitview Ave Ste 140, Yakima, WA 98908-3028 2019-12-19
1356866255 Bryan Camus Nurse Practitioner 2707 Palatine Ave, Yakima, WA 98902-3780 2017-08-11
1699929505 Philip Ryan Young Nurse Practitioner 3904 Terrace Heights Drive, Suite D, Yakima, WA 98901-1568 2008-11-06
1225149073 Jason L Berreman Nurse Practitioner 3810 Kern Way, Suite D, Yakima, WA 98902-7805 2006-08-31
1306854492 Marie C Harlan-ivy Nurse Practitioner 2501 Business Ln, Yakima, WA 98901-1167 2006-08-04
1609881085 Juliet A Capp Nurse Practitioner 120 S. 72nd Ave, Suite 102, Yakima, WA 98908-4200 2006-07-31
1255352183 Gregory A Swart Nurse Practitioner 1111 W. Yakima Ave, Yakima, WA 98902 2006-07-23
1912947136 Suzanne Fromherz Nurse Practitioner 209 S 12th Ave, Yakima, WA 98902-3110 2006-06-07
1538781851 Zachary Assink Nurse Practitioner 602 E Nob Hill Blvd, Yakima, WA 98901-3534 2020-05-08
1093364242 Melissa A Helgeson Nurse Practitioner 1806 W Lincoln Ave, Yakima, WA 98902-2473 2019-09-10
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Competitor

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City YAKIMA
Zip Code 98902

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Dataset Information

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.

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