MARY E BOUDREAU (NPI# 1447591680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447591680 |
| Entity Type | Individual |
| Full Name | MARY E BOUDREAU |
| Other Name | MARY E CASHMAN |
| Credential | APRN |
| Practice Address |
24 Stevens St Norwalk CT 06850-3852 |
| Mailing Address |
34 Maple St Norwalk CT 06850-3815 |
| Practice Telephone | 2038522194 |
| Practice Fax Number | 2038553653 |
| Mailing Telephone | 2038522194 |
| Mailing Fax Number | 2038553653 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
003525 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902259054 | Mary Boudreau | Registered Nurse | 800 Cummings Ctr, Suite 364-u, Beverly, MA 01915-6175 | 2016-07-13 |
| 1912371337 | Mary Boudreau | Occupational Therapy Assistant | 279 Cabot St, Holyoke, MA 01040-3139 | 2015-11-23 |
| 1356741243 | Mary Boudreau | Counselor | 5965 S 900 E, Murray, UT 84121-1720 | 2014-08-27 |
| 1730523598 | Mary Ellen Boudreau | Social Worker | 790 E Columbia St, Mason, MI 48854-1387 | 2013-04-24 |
| Street Address |
24 STEVENS ST |
| City | NORWALK |
| State | CT |
| Zip Code | 06850-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102803 | James E Babashak | Anesthesiology | 24 Stevens St, Norwalk, CT 06850-3852 | 2005-05-24 |
| 1871135244 | Ian Markowitz | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-10-17 |
| 1891356440 | Shannon K Fales | Social Worker | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-06-25 |
| 1255995635 | Jean Thompson | Social Worker | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-05-01 |
| 1598220063 | Kathleen Patricia Tighe | Registered Nurse | 24 Stevens St, Norwalk, CT 06850-3852 | 2019-02-08 |
| 1255809802 | Jaclyn Marie Semmeles | Social Worker | 24 Stevens St, Norwalk, CT 06850 | 2018-11-12 |
| 1730679911 | Crystal May Smigel | Nurse Anesthetist, Certified Registered | 24 Stevens St, Norwalk, CT 06850 | 2018-05-14 |
| 1154707719 | Karen M Smith | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2015-08-06 |
| 1447632047 | Nora Trachtman Croll | Physician Assistant | 24 Stevens St, Norwalk, CT 06850-3852 | 2015-06-19 |
| 1437566627 | Megan D Creedon | Physician Assistant | 24 Stevens St, Norwalk Hospital, Dept. of Surgery, Norwalk, CT 06850-3852 | 2014-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1518321306 | Megan Yee | Social Worker | 54 W. Norwalk Road, Norwalk, CT 06850 | 2016-04-08 |
| 1992129886 | Alicia Collen Zeidan | Nurse Practitioner | 10 Mott Ave Ste 2a, Norwalk, CT 06850 | 2014-02-12 |
| 1306194642 | Diane Beth Weiss | Specialist | 12 Rae Lane, Norwalk, CT 06850 | 2012-08-16 |
| 1538491170 | Thomas C. Santaniello | Dentist | 16 River Street, Norwalk, CT 06850 | 2010-02-08 |
| 1720226988 | Kathleen F Dayton | Counselor | 4 Berkeley Street, Super Kids, Norwalk, CT 06850 | 2009-01-27 |
| 1578716783 | Helen B. Mccue | Social Worker | 9 Mott Avenue, Family and Children's Agency, Norwalk, CT 06850 | 2008-10-31 |
| 1609900497 | James Schumacher | Physician Assistant | Maple Avenue, Norwalk, CT 06850 | 2007-03-15 |
| 1134270002 | Neelam Narula | Nurse Practitioner | 34 Maple St Ste J, Norwalk, CT 06850 | 2007-01-16 |
| 1669559951 | Patricia Jorquera | Pediatrics | 10 Mott Avenue, 4th Floor, Norwalk, CT 06850 | 2006-11-01 |
| Find all providers in zip 06850 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002691 | Marielle Hellerud Khuen | Nurse Practitioner | 39 Fifth St, Norwalk, CT 06855-2402 | 2020-10-30 |
| 1366065047 | Brittania Ann Schoon | Nurse Practitioner | 1327 Sunset Dr Ste 200, Norwalk, IA 50211-1343 | 2020-05-28 |
| 1114567898 | Elmer Fortin Abreu | Nurse Practitioner | 14335 Ibex Ave, Norwalk, CA 90650-4961 | 2020-01-10 |
| 1235694621 | Megan Melrose Campbell | Nurse Practitioner | 8 Nolan St, Norwalk, CT 06850-2525 | 2019-02-10 |
| 1659869188 | Khanh Ngoc Phuong Mai | Nurse Practitioner | 14032 Longworth Ave, Norwalk, CA 90650-3750 | 2018-04-30 |
| 1689185043 | Mari Angela Carranza | Nurse Practitioner | 11419 Benfield Ave, Norwalk, CA 90650-7618 | 2017-10-12 |
| 1578009676 | Parminder Kaur | Nurse Practitioner | 12905 Silverbow Ave, Norwalk, CA 90650-3232 | 2017-01-12 |
| 1609311158 | Ada Rennie Castillo | Nurse Practitioner | 14709 Elaine Ave, Norwalk, CA 90650-5914 | 2016-12-19 |
| 1932659695 | Aristotle Santos | Nurse Practitioner | 15203 Ave, Norwalk, CA 90650-6351 | 2016-10-06 |
| 1235507955 | Jason Sandler | Nurse Practitioner | 497 Westport Ave Ste 300, Norwalk, CT 06851-4411 | 2015-09-11 |
| Find all providers in NORWALK | ||||
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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.