MS. KIMBERLY RENEE BOUCHARD (NPI# 1023666096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023666096 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY RENEE BOUCHARD |
| Credential | RN, AEMT |
| Practice Address |
3285 122nd Ave Allegan MI 49010-9511 |
| Mailing Address |
20 W Cherry Ave Zeeland MI 49464-1606 |
| Practice Telephone | 2696736617 |
| Practice Fax Number | 2696865260 |
| Mailing Telephone | 6165668112 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146M00000X | Emergency Medical Technician, Intermediate | 1645682 | MI | Emergency Medical Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
4704305934 | MI | Nursing Service Providers |
| Street Address |
3285 122ND AVE |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962483271 | Fred Boothby | Nurse Practitioner | 3285 122nd Ave, P.o. Drawer 130, Allegan, MI 49010-9511 | 2005-11-14 |
| 1548890957 | Jacob Mayle | Behavior Technician | 3285 122nd Ave, Allegan, MI 49010-9511 | 2020-01-24 |
| 1427611672 | Caitlin Bradley | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2019-04-15 |
| 1396212676 | Michael Silvasi | Registered Nurse | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-10-25 |
| 1932685195 | Bree Jenene Austin-roberts | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-07-11 |
| 1780178301 | Zachary Thomas Lindell | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-06-18 |
| 1205329018 | Emma Higgs | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-06-07 |
| 1861991853 | Leigh Ann Austin | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-02-06 |
| 1841798790 | Nancy L Thibos | Registered Nurse | 3285 122nd Ave, Allegan, MI 49010-9511 | 2018-01-25 |
| 1427564988 | Alison Kay Schuyler | Social Worker | 3285 122nd Ave, Allegan, MI 49010-9511 | 2017-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891351540 | Frederick Patrick | Registered Nurse | 2864 125th Ave, Allegan, MI 49010-9276 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946705 | Ahuva Lakier | Registered Nurse | 15895 Harden Cir, Southfield, MI 48075-3042 | 2020-06-09 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1275003113 | Cathleen Brooks | Registered Nurse | 1200 N Telegraph Rd # 32, Pontiac, MI 48341-1032 | 2018-12-04 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1780168856 | Alison Male | Registered Nurse | 530 W Oldfield St, Alpena, MI 49707-1810 | 2018-09-24 |
| 1508346800 | Colleen Botos | Registered Nurse | 5671 N Skeel Ave Ste 6, Oscoda, MI 48750-1535 | 2018-08-16 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1083131924 | Kristen Lynn Little | Registered Nurse | 3726 Spruce Run, White Lake, MI 48383-3523 | 2017-08-22 |
| 1396269379 | Emily Elisabeth Ann Pawlowski | Registered Nurse | 12021 Cardwell St, Livonia, MI 48150-2355 | 2017-08-01 |
| 1801318936 | Dawn Krieger | Registered Nurse | Po Box 220, Bellaire, MI 49615-0220 | 2017-07-11 |
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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.