Stephanie K Vanden Bosch, C.R.N.A.

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA0946 Issued in AZ

Practice address

5110 N 44TH St
Phoenix, AZ 85018-1649

Phone

(602) 343-2900

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Mesa Az Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1770557233
  NPD (past)
• Superior Anesthetists Associates, Inc.

  • Specialist
  • Troy, MI
  • NPI 1831144518
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1992784474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13630 S CANYON DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850489081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850181649",
            "telephone_number": "602-343-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEN BOSCH",
        "first_name": "STEPHANIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R155256-0",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marceline Vance, CCC-SLP
• Stephanie Vancott, RN
• Nathan Vandegraaff
• David Cooper Vandemerwe, DO
• Kasey Lynn Vanden Bosch, DO
• Sharon R Vandenberg
• Catherine Vanderaa
• Linda Vanderbeek
• Chrystal Ann Vandergriff, MSOT, OTR/L
• John Vanderhoof, M.D.

• Certified Registered Nurse Anesthetist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.