Active NPI
Amberlee Boverhuis
- Basic Emergency Medical Technician
- Leander, TX
National Provider Identifier
1548718224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- NR00289878
- Practice address
- 2406 Socorro BND
Leander, TX 78641 - Phone
- (808) 425-3716
- NPI assigned
- Sep 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | TX | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | TX | ||
| Basic Emergency Medical Technician | 146N00000X | NR00289878 | TX | Primary |
Addresses
Primary practice location
2406 Socorro BND
Leander, TX 78641
Mailing address
2406 Socorro BND
Leander, TX 78641-2160
Phone (808) 425-3716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NR00289878 | TX | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1548718224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 SOCORRO BND",
"city": "LEANDER",
"state": "TX",
"postal_code": "786412160",
"telephone_number": "808-425-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 SOCORRO BND",
"city": "LEANDER",
"state": "TX",
"postal_code": "78641",
"telephone_number": "808-425-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVERHUIS",
"first_name": "AMBERLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-12",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "NR00289878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leander, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.