JASON DAVID BOUCHER (NPI# 1063839454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063839454 |
| Entity Type | Individual |
| Full Name | JASON DAVID BOUCHER |
| Credential | LPN |
| Practice Address |
1625 Diamond Hill Rd Woonsocket RI 02895-1771 |
| Practice Telephone | 4017621511 |
| Mailing Telephone | 4017621511 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | 10720 | RI | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841691839 | Jason Boucher | Occupational Therapist | 3925 Sheridan Dr, Amherst, NY 14226-1738 | 2014-09-09 |
| 1588853063 | Jason Andrew Boucher | Marriage & Family Therapist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2007-10-19 |
| Street Address |
1625 DIAMOND HILL RD |
| City | WOONSOCKET |
| State | RI |
| Zip Code | 02895-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319368 | R.i.s.a.t., LLC | Clinic/Center | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1541 | 2005-07-11 |
| 1083212062 | Daniel Alfonso Molina | Counselor | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-10-13 |
| 1154947406 | Kayla Robinson | Registered Nurse | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-06-23 |
| 1578187951 | Caroline Masse | Licensed Practical Nurse | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-06-02 |
| 1013543644 | Sara Nicole Ryan-adams | Licensed Practical Nurse | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-03-16 |
| 1154956035 | Alba E Toribio | Counselor | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-03-11 |
| 1811521594 | Aimee Marie Grenier | Licensed Practical Nurse | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-03-03 |
| 1518590934 | Julie Dulce Diaz | Contractor | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-02-13 |
| 1831721265 | Kim M Demelo | Case Manager/Care Coordinator | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2020-02-04 |
| 1851942395 | Lakin Jean Morin | Licensed Practical Nurse | 1625 Diamond Hill Rd, Woonsocket, RI 02895-1771 | 2019-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730732017 | Karissa Cardoso | Behavior Technician | 36 Cleveland Street, Apt 1, Woonsocket, RI 02895 | 2019-07-16 |
| 1841714177 | Richard Keith Polacek | Behavioral Analyst | 30 Cumberland St., Woonsocket, RI 02895 | 2017-07-28 |
| 1912353335 | Muria Irine Nisbett | Social Worker | 4 Gaulin Ave., Floor 4, Woonsocket, RI 02895 | 2016-05-05 |
| 1083046833 | Shaylyn Kathleen Mcteague | Podiatrist | 20 Cumberland Hill Rd Unit 210, Woonsocket, RI 02895 | 2013-08-04 |
| 1902243165 | David J. Ward Dmd, PC | Dentist | 460 S. Main St., Woonsocket, RI 02895 | 2013-05-29 |
| 1073876256 | Patricia J Corbett | Social Worker | 181 Cumberland St # 301, Woonsocket, RI 02895 | 2012-06-21 |
| 1114206521 | Patricia Nievez Alvarez | Social Worker | 181 Cumberland St Ste 301, Woonsocket, RI 02895 | 2011-08-16 |
| 1891082970 | Ann Katherine Maccarone | Speech-Language Pathologist | 1 Cumberland St., Woonoscket, RI 02895 | 2011-07-08 |
| 1043507734 | Infectious Diseases Associates of Rhode Island | Internal Medicine | 115 Cass Avenue - 3rd Floor, C/o Landmark Medical, Woonsocket, RI 02895 | 2011-07-01 |
| 1740577543 | Michelle Marie Durand Straube | Optometrist | 385 Mendon Road, Woonsocket, RI 02895 | 2011-06-30 |
| Find all providers in zip 02895 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912413907 | Ellery Ann Conway | Adult Companion | 8 Dodge Ct, Newport, RI 02840-2114 | 2017-12-28 |
| 1336508985 | Linda Marie Bouchard | Adult Companion | 76 Florence St, Tiverton, RI 02878-2421 | 2016-02-10 |
| City | WOONSOCKET |
| Zip Code | 02895 |
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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.