LISA A. BOUCHER


Address: 500 Salisbury St, Assumption College - Student Health Services, Worcester, MA 01609-1265
Phone: 5087677329

LISA A. BOUCHER (NPI# 1033210182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033210182
Entity Type Individual
Full Name LISA A. BOUCHER
Credential MS, APRN, BC, ANP
Practice Address 500 Salisbury St
Assumption College - Student Health Services
Worcester
MA 01609-1265
Mailing Address 110 Farm Pond Rd
Oakham
MA 01068-9551
Practice Telephone 5087677329
Practice Fax Number 5087677102
Mailing Telephone 5088823722
Enumeration Date 2006-09-25
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
206013 MA Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA BOUCHER

NPI Name Taxonomy Address Enumeration
1184812703 Lisa M Boucher Radiologic Technologist 265 E Marion Ave, Punta Gorda, FL 33950-3715 2007-10-09
1679709463 Lisa Marie Boucher Physician Assistant 2333 Biddle Ave, Wyandotte, MI 48192-4668 2009-06-07
1730285982 Lisa Jean Boucher Physician Assistant 2 Great Falls Plz Ste 21, Auburn, ME 04210-5966 2006-09-15

Office Location

Street Address 500 SALISBURY ST
ASSUMPTION COLLEGE - STUDENT HEALTH SERVICES
City WORCESTER
State MA
Zip Code 01609-1265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114980216 Timothy S Hay Specialist/Technologist 500 Salisbury St, Assumption College, Worcester, MA 01609-1265 2006-04-10
1487285334 Ashley Elizabeth Leverone Specialist/Technologist 500 Salisbury St, Worcester, MA 01609-1296 2020-01-30
1851700454 Gunilla Chiaranda Specialist/Technologist 500 Salisbury St, Worcester, MA 01609-1265 2014-08-07
1326380700 Cara B Cohen Nurse Practitioner 500 Salisbury St, Worcester, MA 01609-1265 2013-03-23
1508192261 Erin M Hagedorn Specialist/Technologist 500 Salisbury St, Worcester, MA 01609-1265 2009-10-30
1295973907 Alisha Hodge Social Worker 500 Salisbury St, Worcester, MA 01609-1265 2009-02-03
1841462124 Joan M Cutting Nurse Practitioner 500 Salisbury St, Assumption College Student Health Services, Worcester, MA 01609-1265 2008-03-27
1336275650 Michael Paul Taylor Specialist/Technologist 500 Salisbury St, Worcester, MA 01609-1265 2007-02-23
1225139819 Keri-ann Maguire Nurse Practitioner 500 Salisbury St, Student Health Services, Worcester, MA 01609-1265 2006-09-26

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1669018388 Alyssa Lynne Szymkowicz Counselor 2b Pelham Street, Apartment 3, Worcester, MA 01609 2019-11-19
1295200848 Carmen P Rivera Martinez Counselor 20 Irving Street, Worcester, MA 01609 2018-10-10
1386126704 Sarah J Macdonald Psychologist 27 Sever St, Worcester, MA 01609 2018-09-01
1437641107 Christopher Quoc-duy Nguyen Dentist 111 Elm Street Suite 203, Worcester, MA 01609 2018-05-30
1396190096 Dasa Home Health Inc Home Health 255 Park Ave Ste 1101a, Worcester, MA 01609 2016-04-30
1912306135 Neighborhood Dental Group, PC Dentist 111 Elm St Suite 203, Worcester, MA 01609 2014-08-14
1306254875 Brenda Mccarthy-trayah Counselor 198 Russell St., Worcester, MA 01609 2014-07-29
1386052009 Allene Rizzolo Early Intervention Provider Agency 548 Park Ave., South Bay Early Intervention, Worcester, MA 01609 2014-07-25
1477849032 Diversified Staffing Nursing Care 39 Salisbury Street, Worcester, MA 01609 2011-06-22
1508195140 64 Highland Dental Dentist 64 Highland Street, Worcester, MA 01609 2009-12-10
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033576574 Denise Rugg Nurse Practitioner 100 Research Dr, Worcester, MA 01605-4312 2016-01-27
1649604133 Beth Waithira Harden Nurse Practitioner 16 Edgeworth St, Worcester, MA 01605-3224 2013-09-03
1861734030 Jillian Julia Russell Nurse Practitioner 939 Southbridge St, Worcester, MA 01610-2227 2013-03-26
1386907541 Jeanne Marie Snow Nurse Practitioner 691 Grafton St, Worcester, MA 01604-3185 2012-06-21
1164525028 Lisa Catherine Gaimari Nurse Practitioner 486 Chandler Street, Worcester State College, Student Health Services, Worcester, MA 01602 2006-09-06
1467555607 Lori Williams Nurse Practitioner 486 Chandler St # G209, Worcester State College Student Health Services, Worcester, MA 01602-2861 2006-09-06
1073595047 Ruth Remington Nurse Practitioner 630 Plantation St, Worcester, MA 01605-2038 2005-11-16
1073158721 Adam D Bliss Nurse Practitioner 162 Chandler St, Worcester, MA 01609-2924 2019-11-16
1578045498 Shadie Bajrami Nurse Practitioner 26 Queen St, Worcester, MA 01610-2473 2018-09-06
1427576453 Amanda Murray Nurse Practitioner 416 Belmont St, Worcester, MA 01604-1086 2017-08-30
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Competitor

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City WORCESTER
Zip Code 01609

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Dataset Information

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.

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