DANIELLE A. BOUCHER (NPI# 1508850504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850504 |
| Entity Type | Individual |
| Full Name | DANIELLE A. BOUCHER |
| Other Name | DANIELLE A. LINCK |
| Credential | M.D. |
| Practice Address |
1220 N Highway A1a Ste 147 Indialantic FL 32903-2858 |
| Mailing Address |
3300 S Fiske Blvd Rockledge FL 32955-4306 |
| Practice Telephone | 3212428790 |
| Practice Fax Number | 3212421541 |
| Mailing Telephone | 3212428790 |
| Mailing Fax Number | 3219517408 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
ME82139 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | P01164038 | 01 |
| FL | FLORIDA BLUE (BCBS OF FL) | 51172 | 01 |
| FL | AETNA | 2599246 | 01 |
| FL | CIGNA | 5481530001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7125 Murrell Road, Viera, FL 329407999 | 3212428790 | 3212421541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386049369 | Danielle Boucher | Acupuncturist | 211 Sanchez St, San Francisco, CA 94114-1613 | 2014-11-03 |
| Street Address |
1220 N HIGHWAY A1A STE 147 |
| City | INDIALANTIC |
| State | FL |
| Zip Code | 32903-2858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477554137 | Anna E Hadid | Internal Medicine | 1220 N Highway A1a Ste 147, Indialantic, FL 32903 | 2005-08-03 |
| 1154401115 | Sheila Mcleod | Pediatrics | 1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858 | 2006-10-16 |
| 1013993617 | Christine D Witte | Pediatrics | 1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858 | 2005-12-16 |
| 1134110075 | Jay M Hagloch | Family Medicine | 1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858 | 2005-10-31 |
| 1538153358 | Robert Bisset | Family Medicine | 1220 N Highway A1a Ste 147, Indialantic, FL 32903-2858 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891330940 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 700 N. Miramar Avenue, Indialantic, FL 32903 | 2019-11-13 |
| 1518511062 | Marco Italia | Physical Therapist | 1220 N Highway A1a Ste 117, Indialantic, FL 32903 | 2019-08-01 |
| 1043755036 | Mary Parker | Behavior Technician | 290 Paradise Blvd Apt 17, Indialantic, FL 32903 | 2016-12-29 |
| 1083918908 | William G. Devanney | Pharmacist | 700 North Miramar Ave, Indialantic, FL 32903 | 2011-01-06 |
| 1982868907 | Jennifer Uhl Scott | Contractor | 122 4th Ave Ste 200, Indialantic, FL 32903 | 2008-07-18 |
| 1376712158 | Centre for Family Medicine | Family Medicine | 241 6th Ave, Indialantic, FL 32903 | 2008-02-26 |
| 1437364650 | Indialantic Chiropractic & Acupuncture Inc | Chiropractor | 322 Fourth Avenue, Indialantic, FL 32903 | 2007-05-11 |
| 1205950730 | Keith Barry Smith | Technician/Technologist | 880 N Miramar Ave, Indialantic, FL 32903 | 2007-03-19 |
| 1689716300 | Jeri Lynn Andrews-judge | Specialist | 720 N Miramar Avenue, Indialantic, FL 32903 | 2007-02-12 |
| 1376633750 | Colleen Cook Tobia | Pharmacist | 2200 North Highway A1a, Walgreens, Melbourne, FL 32903 | 2006-10-13 |
| Find all providers in zip 32903 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910240 | Jeffrey M Greenberg Md Medical Services Inc | Obstetrics & Gynecology | 13324 Pond Apple Dr W, Naples, FL 34119-8556 | 2020-10-20 |
| 1497365464 | Hamel Foundation Inc | Obstetrics & Gynecology | 7777 N University Dr Ste 206, Tamarac, FL 33321-6106 | 2020-08-05 |
| 1336786466 | Manfred Emil Trostel | Obstetrics & Gynecology | 2425 Gulf of Mexico Dr Unit 8d, Longboat Key, FL 34228-3213 | 2019-12-09 |
| 1790335164 | Customized Wellness, LLC | Obstetrics & Gynecology | 131 W Center Avenue, Sebring, FL 33870 | 2019-09-17 |
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1649748666 | Kristin M Jackson LLC | Obstetrics & Gynecology | 260 Lookout Pl Ste 201, Maitland, FL 32751-4485 | 2018-11-07 |
| 1710476239 | Yvette Pereyra Ans | Obstetrics & Gynecology | 3990 Sheridan St Ste 214, Hollywood, FL 33021-3656 | 2018-05-10 |
| 1194223800 | Vandyke Md Ob/gyn Pa | Obstetrics & Gynecology | 9161 Narcoossee Rd Ste B209, Orlando, FL 32827-5764 | 2018-01-28 |
| 1538676515 | Adam Ostrzenski | Obstetrics & Gynecology | 7001 Central Ave Ste 3, St Petersburg, FL 33710-7549 | 2017-12-29 |
| 1144735945 | Judith Watson Bradfield | Obstetrics & Gynecology | 8024 Links Way, Port St Lucie, FL 34986-3035 | 2017-12-04 |
| Find all providers with the same taxonomy | ||||
| City | INDIALANTIC |
| Zip Code | 32903 |
Please comment or provide details below to improve the information on DANIELLE A. BOUCHER.
| 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.