Heather Bosma
Individual provider Active NPI Family Nurse Practitioner · Taft, CA
NPI 1285037614 · NPPES record last updated Nov 7, 2024
Key facts
- NPI
- 1285037614
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95001339 (CA)
- Practice address
- 100 E North St
Taft, CA 93268-3606 - Phone
- (661) 765-1935
- Fax
- (661) 765-1928
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Side Health Care District
Practice addresses (Care Compare)
100 E N St
Taft, CA 93268-3606
Phone (661) 765-1935
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141016001582 | CA | Practitioner - Nurse Practitioner | 8325269368 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001339 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| West Side Health Care District | Current |
Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current | Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current |
Accepting new patients | |
| Community Health Centers of the Central Coast Inc | Current |
Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients |
Locations
150 Tejas Pl
Nipomo, CA 93444
Phone (805) 929-3254
2050 S Blosser Rd
Santa Maria, CA 93458
Phone (805) 361-8014
2801 Santa Maria Way
Bldg A
Santa Maria, CA 93455
Phone (805) 938-9200
100 E North St
Taft, CA 93268
Phone (661) 765-1935
119 Adkisson Way
Taft, CA 93268
Phone (661) 765-7234
Interoperability endpoints
- https://api.platform.athenahealth.com/14270/brand/1/csg/1/fhir/r4
- heather.bosma.1@14270.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001339 | CA | Yes |
Addresses
Primary practice location
100 E North St
Taft, CA 93268-3606
Mailing address
100 E North St
Taft, CA 93268-3606
Phone (661) 765-1935
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95001339 | Other | CA | LICENSE NUMBER |
Other providers in Taft, CA
- Elizabeth Marie Bell
- Jonathan Bench
- Maraya Christen Bermudez
- Kevin Randall Blankenship
- Darrin Boatman
- Lucette Bottomly
- Lindsay Brown
- John Sterling Bryan
- Tony Anthony Carey
- Chadam Associates Inc
All providers in Taft, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.