Bose Patrick

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2917 Boulder Dr
West Des Moines, IA 50265-4154

Phone

(151) 542-1650

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bose Patrick Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nezia Care LLC

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  • NPI 1679338511

  Behavior Technician

  NPD Authorized official
• Guardin Transport LLC

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  • NPI 1528919982
  NPD
• Viralway Transport LLC

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  • NPI 1689520488
  NPD

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1417712597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 BOULDER DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654154",
            "telephone_number": "151-542-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 BOULDER DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654154",
            "telephone_number": "151-542-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "BOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOSE",
            "last_name": "PATRICK",
            "credential": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alivia Rose Passet, DPM
• Passport Health Holdings LLC
• Arpan Ghanshyam Patel
• Path to Peace Counseling, PLC
• Pathways Mental Health
• Patriotmed of Kansas, P.a.
• Taylor Ann Patterson, APRN-CNP
• Samuel Barker Pattison, LMHCP
• Paul a Rozeboom MD PC (Westown Pediatric Clinic)
• Grant L Paulsen, M.D.

• Behavior Technician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Behavior Technician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.