Alexandria Vandenbossche, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN.462703 Issued in OH

Practice address

32807 Lake Rd
Avon Lake, OH 44012-1521

Phone

(216) 409-0669

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1518691807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32807 LAKE RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121521",
            "telephone_number": "216-409-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32807 LAKE RD",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440121521",
            "telephone_number": "216-409-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOSSCHE",
        "first_name": "ALEXANDRIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.462703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tranquility Health Providers
• Christina Marie Trillis, M.D
• Weston Charles Tuten, OD
• Jourdan W Ujlaki, PHARMD, RPH
• Amy Van Dyke, M.ED
• Michelle Rose Vargo
• Paula Sciarini Vasu, L.S.W., L.P.C.
• Bradley M Vernallis, DC
• Sally Vidmar
• Grace Vinesky

• Psychiatric/Mental Health Nurse Practitioner in Avon Lake, OH
• Providers in Avon Lake, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

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