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).
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 |
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 |
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 |
Street Address |
500 SALISBURY ST ASSUMPTION COLLEGE - STUDENT HEALTH SERVICES |
City | WORCESTER |
State | MA |
Zip Code | 01609-1265 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 01609 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Find all providers in WORCESTER |
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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.