BONNIE BOUCHARD (NPI# 1003884685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003884685 |
| Entity Type | Individual |
| Full Name | BONNIE BOUCHARD |
| Credential | CNM |
| Practice Address |
163 Van Buren Rd Ste 4 Caribou ME 04736-3567 |
| Mailing Address |
Po Box 40 Caribou ME 04736-0040 |
| Practice Telephone | 2074986921 |
| Practice Fax Number | 2074981697 |
| Mailing Telephone | 2074982359 |
| Mailing Fax Number | 2074983947 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN27700 | ME | Nursing Service Providers |
| Y | 176B00000X | Midwife | CNM82022 | ME | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | CAQH ID NO. | 11459629 | 01 |
| UNITED HEALTHCARE PROVIDER NO. | 2426723 | 01 | |
| CIGNA PROVIDER ID NO. | 8891249 | 01 |
| Street Address |
163 VAN BUREN RD STE 4 |
| City | CARIBOU |
| State | ME |
| Zip Code | 04736-3567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770997421 | Maranda Record | Family Medicine | 163 Van Buren Rd Ste 4, Caribou, ME 04736 | 2014-06-19 |
| 1528383262 | Pines Health Services | Social Worker | 163 Van Buren Rd Ste 4, Caribou, ME 04736-3567 | 2010-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073849998 | Eastern Aroostook Regional School | Local Education Agency (LEA) | 75 Glenn St, Caribou, ME 04736 | 2009-10-28 |
| 1992933675 | Philip St. Peter | In Home Supportive Care | 77 Grimes Rd, Caribou, ME 04736 | 2009-07-01 |
| 1063646982 | Cheri Melody Hayes | Occupational Therapist | 50 Page Ave, Caribou, ME 04736 | 2009-05-06 |
| 1003059189 | Maureen N. Murchison | Rehabilitation Counselor | 159 Bennett Dr Ste 201, Caribou, ME 04736 | 2009-04-20 |
| 1083864441 | Amy L. Deprey | Counselor | 43 Hatch Dr Ste 210, Caribou, ME 04736 | 2008-09-23 |
| 1043467079 | Julie M Bouchard | Physical Therapist | 118 Bennett Dr Ste 140, Caribou, ME 04736 | 2008-08-21 |
| 1770746448 | Andrea L Reid | Social Worker | 20 Old Van Buren Road, Caribou, ME 04736 | 2008-07-03 |
| 1265627863 | Aimee Victoria Mcclellan | Social Worker | 92 Bennett Drive, Caribou, ME 04736 | 2007-09-07 |
| 1245421387 | David Terry Letourneau | Specialist/Technologist | 7 Russ Street, Center for Integrated Neuro-rehab, Caribou, ME 04736 | 2007-08-05 |
| 1851512024 | Lisa Brigitte Deschenes | Physical Therapist | 10 Bernadette Street, Caribou, ME 04736 | 2007-05-02 |
| Find all providers in zip 04736 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288343 | Kimberly Martin | Midwife | 163 Van Buren Rd, Caribou, ME 04736-3567 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075901 | Allura Gayle Eckey | Midwife | 71 Dugway Rd, Brownfield, ME 04010-4511 | 2020-08-25 |
| 1336766807 | Hannah Elizabeth Neumann | Midwife | 37 Francis Wyman Lane, Phippsburg, ME 04562-0456 | 2020-07-01 |
| 1326665845 | Jennifer Ann Wienges | Midwife | 1052 Commercial St, Rockport, ME 04856-3801 | 2020-06-30 |
| 1922625730 | Acadia Kathryn Gantz | Midwife | 626 Lake House Rd, Naples, ME 04055-3218 | 2020-06-26 |
| 1508304874 | Mellissa Pulsifer | Midwife | 109 Bethel Point Rd, Harpswell, ME 04079-4401 | 2017-02-07 |
| 1538610225 | Ariel Bernstein | Midwife | 80 Morning St, Apt 3, Portland, ME 04101-4428 | 2016-10-18 |
| 1063963700 | Carmen Luca | Midwife | 263 Haley Town Rd, Fryeburg, ME 04037-1161 | 2016-10-18 |
| 1730630344 | Melissa Briggs | Midwife | 14 Gary L Maietta Pkwy, South Portland, ME 04106-7816 | 2016-10-18 |
| 1134677958 | Morgan Gaines | Midwife | 416 Littlefield Rd, Wells, ME 04090-5114 | 2016-09-21 |
| 1326592619 | Danielle Kilroy | Midwife | 129 Mount Waldo Rd, Frankfort, ME 04438-3427 | 2016-08-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.