Sandra Marie Boeshaar, LPN-RCS

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

309909 Issued in WI

Practice address

2482 Deerpath LN
Arbor Vitae, WI 54568-9580

Phone

(715) 358-2988

NPI assigned

Mar 11, 2009

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": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1730320391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2482 DEERPATH LN",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689580",
            "telephone_number": "715-358-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2482 DEERPATH LN",
            "city": "ARBOR VITAE",
            "state": "WI",
            "postal_code": "545689580",
            "telephone_number": "715-358-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOESHAAR",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN-RCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "309909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Deneen Buhs, CMT
• Diana Marina Cataldi, M.S., D.M.A.
• Compassus Aah of Wisconsin II, LLC (Compassus - Northern Wisconsin)
• Erin F Eisch, OT
• Lloyd E. Glynn, R.PH.

• Licensed Practical Nurse in Arbor Vitae, WI
• Providers in Arbor Vitae, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.