ANGELA BOOMSMA APRN NPI 1598163560

NPI Information

  • NPI: 1598163560
  • Provider Name: ANGELA BOOMSMA, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2850 W 95TH ST STE 400
    EVERGREEN PARK, IL
    ZIP 60805
  • Phone: (708) 424-7600

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NPI Details

Angela Boomsma, APRN is a family nurse practitioner in Evergreen Park, IL. Angela Boomsma, APRN NPI is 1598163560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2850 W 95TH ST STE 400
EVERGREEN PARK, IL
ZIP 60805-755
Phone: (708) 424-7600
Fax: (708) 424-7605

The NPI 1598163560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2014 and was last updated on 10/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant041370468ILLINOISNo
2363L00000XNurse Practitioner209-012206ILLINOISNo
3363LP0200XNurse PractitionerPediatrics209012206ILLINOISNo
4363LF0000XNurse PractitionerFamily209-012206ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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