Laura Ann Boatman

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN143946 Issued in CA

Practice address

5810 Ralston St
2ND Floor
Ventura, CA 93003-6010

Phone

(805) 642-7033

Fax

(805) 642-7201

NPI assigned

Mar 5, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1093955858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CORTE AGUACATE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101861",
            "telephone_number": "805-642-7033",
            "fax_number": "805-642-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 RALSTON ST",
            "address_2": "2ND FLOOR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036010",
            "telephone_number": "805-642-7033",
            "fax_number": "805-642-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN143946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED VOCATIONAL NURSE",
            "identifier": "164X00C00X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Lee Bloom, DO
• Stuart M. Bloom, M.D.
• Everett Michael Blough
• Blue Lotus Counseling
• Richard Alan Blue, OD
• Veronica Marcelina Bobadilla, LMFT
• Vicky Bobadilla, PA-C
• Andrei Victor Bobrow, M.D.
• Diane Bock
• Anu Priyanka Bodla, MBBS, MD

• Licensed Vocational Nurse in Ventura, CA
• Providers in Ventura, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.