MISS CRYSTAL BOUCHARD (NPI# 1366792111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366792111 |
| Entity Type | Individual |
| Full Name | MISS CRYSTAL BOUCHARD |
| Credential | RD |
| Practice Address |
142 Trillium Dr Magnolia DE 19962-9476 |
| Practice Telephone | 3023596106 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DE | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013298447 | Crystal Amber Bouchard | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2011-08-30 |
| Street Address |
142 TRILLIUM DR |
| City | MAGNOLIA |
| State | DE |
| Zip Code | 19962-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750401543 | Jessica Lucille Weaver | Dentist | 436 Mdg, 300 Tuskegee Blvd, Dover Afb, DE 19962 | 2007-03-29 |
| 1588936355 | Guillermo J Rosa | Pharmacist | 754 Ponderosa Dr, Magnolia, DE 19962-1140 | 2012-02-08 |
| 1316496318 | Scott M Butler | Nurse Practitioner | 431 Fieldbrook Dr, Magnolia, DE 19962-1481 | 2016-10-02 |
| 1801248166 | Emily White | Social Worker | 154 Fieldbrook Ln, Magnolia, DE 19962-1487 | 2016-07-11 |
| 1063019784 | Charlene Phillips | Psychologist | 702 Woodlytown Rd, Magnolia, DE 19962-1622 | 2020-10-06 |
| 1720481948 | Ivan Luke West Sr. | Physical Therapy Assistant | 175 Cider Run, Magnolia, DE 19962-1667 | 2014-10-01 |
| 1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
| 1477764645 | Michelle Lynn Hardy | Registered Nurse | 1311 Millchop Ln, Magnolia, DE 19962-1750 | 2007-05-26 |
| 1942670112 | Justina Williams | Registered Nurse | 662 Quaker Hill Rd, Magnolia, DE 19962-2209 | 2015-10-01 |
| 1700437746 | Dorothy Nkongho Eyong | Nurse Practitioner | 775 Tullamore Ct, Magnolia, DE 19962-2621 | 2019-09-20 |
| Find all providers in zip 19962 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861914046 | West Nutrition Consulting Pllc | Dietitian, Registered | 110 Columbia Road 432 S, Magnolia, AR 71753-8806 | 2017-07-10 |
| 1831588466 | Genevieve Brent | Dietitian, Registered | 24418 Chipwood Dr, Magnolia, TX 77355-3437 | 2015-01-20 |
| 1336295211 | Jimmie Lee Ballard | Dietitian, Registered | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2007-01-25 |
| 1699856146 | Patricia Henry Lewandowski | Dietitian, Registered | 6875 Fm 1488 Rd, Suite 1400, Magnolia, TX 77354-4520 | 2006-10-18 |
| 1821199373 | Margaret Mayree West | Dietitian, Registered | 101 Hospital Dr, Magnolia, AR 71753-2415 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801423124 | Jaclyn Nicole Esbenshade | Dietitian, Registered | 529 Wheelmen St, Middletown, DE 19709-0027 | 2020-03-25 |
| 1124659032 | Catherine A Vroome | Dietitian, Registered | 351 George Williams Way, Newark, DE 19702-3518 | 2020-01-29 |
| 1134769359 | Cindra Ann Holland | Dietitian, Registered | 16 E Sarazen Dr, Middletown, DE 19709-7940 | 2020-01-15 |
| 1033757489 | Kristen Nawrocki | Dietitian, Registered | 416 Bergenia Loop, Bear, DE 19701-4882 | 2019-12-17 |
| 1255975355 | Lynleigh Palmer | Dietitian, Registered | 14280 Brandy Ln, Georgetown, DE 19947-4563 | 2019-10-31 |
| 1043853310 | Deborah E Smith | Dietitian, Registered | 16 Lamatan Rd, Newark, DE 19711-2316 | 2019-10-19 |
| 1811540545 | Breanna Fountain | Dietitian, Registered | 30265 Commerce Dr Unit 102, Millsboro, DE 19966-3594 | 2019-07-22 |
| 1548726417 | Tracy Ellen Fennemore | Dietitian, Registered | 399 Scarlet Cir, Dover, DE 19904-5658 | 2019-02-15 |
| 1801360227 | Kara Feeney | Dietitian, Registered | 1109 Valley Stream Dr, Newark, DE 19702-2915 | 2019-01-18 |
| 1669994208 | Natalie Mckenney | Dietitian, Registered | 917 Nottingham Rd, Newark, DE 19711-7410 | 2017-07-15 |
| 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.