SAMANTHA BOUCHER


Address: 345 23rd Ave N, Nashville, TN 37203
Phone: 6159639200

SAMANTHA BOUCHER (NPI# 1518479641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518479641
Entity Type Individual
Full Name SAMANTHA BOUCHER
Credential PA-C
Practice Address 345 23rd Ave N
Nashville
TN 37203
Mailing Address 608 Norris Ave
Nashville
TN 37204-3708
Practice Telephone 6159639200
Practice Fax Number 6159639201
Mailing Telephone 6156951455
Mailing Fax Number 6156951483
Enumeration Date 2017-10-30
Last Update Date 2020-04-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 3422 TN Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant 1143940 Physician Assistants & Advanced Practice Nursing Providers

Other Providers SAMANTHA BOUCHER

NPI Name Taxonomy Address Enumeration
1760827091 Samantha Lavengood Boucher Chiropractor 5447 Powder Springs Dallas Rd Sw, Hiram, GA 30141-6303 2013-04-30

Office Location

Street Address 345 23RD AVE N
City NASHVILLE
State TN
Zip Code 37203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003819046 Barbara H Nylander Obstetrics & Gynecology 345 23rd Ave N, Suite 209, Nashville, TN 37203-1513 2005-05-23
1851846323 Tennessee Orthopaedic Alliance, Pa Durable Medical Equipment & Medical Supplies 345 23rd Ave N, Suite 212, Nashville, TN 37203-1513 2016-08-24
1487033593 Middle Tennessee Asc, LLC Clinic/Center 345 23rd Ave N, Suite 401, Nashville, TN 37203-1513 2015-05-21
1497133227 Ivf Laboratories of Nashville, LLC Clinical Medical Laboratory 345 23rd Ave N, Suite 401, Nashville, TN 37203-1513 2015-05-13
1063812659 Nashville Fertility Center, PC Obstetrics & Gynecology 345 23rd Ave N, Suite 401, Nashville, TN 37203-1513 2014-09-02
1679983266 Ellen Rogers Nurse Practitioner 345 23rd Ave N, Suite 401, Nashville, TN 37203-1513 2014-05-05
1326465667 Andrea Sporck Nurse Practitioner 345 23rd Ave N, Suite 401, Nashville, TN 37203-1513 2014-03-25
1821347196 Tracut LLC Clinic/Center 345 23rd Ave N, 212, Nashville, TN 37203-1513 2012-09-02
1053670265 Impact Sports Medicine & Orthopedics, Pllc Physical Medicine & Rehabilitation 345 23rd Ave N, Suite 301, Nashville, TN 37203-1513 2012-05-08
1770865677 Justin E Hill Physician Assistant 345 23rd Ave N, Suite 301, Nashville, TN 37203-1513 2011-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265031843 Results-ast Jv, LLC Physical Therapist 1000 Church Street, Nashville, TN 37203 2020-10-23
1922607159 Results-ast Jv, LLC Physical Therapist 222 22nd Avenue North, Suite 100, Nashville, TN 37203 2020-10-19
1427663152 Amber Nicole Fox Nurse Practitioner 2300 Patterson Street-endo Dept, Nashville, TN 37203 2020-09-10
1144839648 Tasha Yarris Nurse Practitioner 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 2020-07-30
1013536655 Colby Wollenman Student in an Organized Health Care Education/Training Program Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 2020-04-14
1477193738 Ames Center for Counseling LLC Social Worker 1900 Church Street #300, Nashville, TN 37203 2020-01-14
1750922498 Lisa Michelle Gregory Beck Nurse Practitioner 2221 Murphy Avenue, Nashville, TN 37203 2019-10-03
1235634023 Jackson Primary Care Family Medicine 2010 Church St Ste 526, Nashville, TN 37203 2018-03-26
1932614237 Caitlin Butcher Social Worker 402 22nd Ave North, Nashville, TN 37203 2017-12-08
1780194068 Casey Lynn O'quinn Behavioral Analyst 2108 Hayes St, Nashville, TN 37203 2017-10-02
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861099491 Caraline Berlynn Mcdowell Physician Assistant 284 Clearlake Dr W, Nashville, TN 37217-4547 2020-10-06
1508463365 Logan Curran Martin Physician Assistant 5431 Edmondson Pike # 10, Nashville, TN 37211-5806 2020-10-05
1487261798 Charity Grace Coppedge Physician Assistant 105 Twin Oaks Dr, Nashville, TN 37211-2765 2020-09-30
1871100586 Emily Philpott Physician Assistant 905 20th Ave S Apt 1306, Nashville, TN 37203-2672 2020-09-27
1063028876 Emma Landers Physician Assistant 1534 Douglas Ave, Nashville, TN 37206-2309 2020-09-17
1730795527 Melanie Rees Physician Assistant 111 33rd Ave S Apt 102, Nashville, TN 37212-3241 2020-09-17
1679112395 Hannah Lizbeth Sullivan Physician Assistant 111 Old Hickory Blvd Apt 261, Nashville, TN 37221-6857 2019-12-27
1225599921 Merit Gerges Azab Physician Assistant 2113 Forge Ridge Cir, Nashville, TN 37217-3028 2019-03-26
1154889392 Hannah Maria Harper Physician Assistant 111 17th Ave S Apt 1311, Nashville, TN 37203-2791 2019-03-06
1871068205 Joseph Teal Physician Assistant 4534 Harding Pike, Nashville, TN 37205-2102 2018-10-12
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Competitor

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City NASHVILLE
Zip Code 37203

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Dataset Information

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.

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