RENEE M BOUCHER (NPI# 1699750034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699750034 |
| Entity Type | Individual |
| Full Name | RENEE M BOUCHER |
| Other Name | RENEE M JOLICOEUR |
| Credential | NP |
| Practice Address |
3 Memorial Dr Winchendon MA 01475-1279 |
| Mailing Address |
242 Green St Gardner MA 01440-1336 |
| Practice Telephone | 9782975052 |
| Practice Fax Number | 9782975430 |
| Mailing Telephone | 9786305076 |
| Mailing Fax Number | 9786305078 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2010-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
230888 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0714267 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548305295 | Renee M Boucher | Specialist/Technologist | 800 South St, Barre, MA 01005-8906 | 2007-02-20 |
| Street Address |
3 MEMORIAL DR |
| City | WINCHENDON |
| State | MA |
| Zip Code | 01475-1279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407338833 | Ryen Wood | Developmental Therapist | 334 Front Street, Winchendon, MA 01475 | 2018-09-01 |
| 1164936050 | Kristopher Daniel Ambrozewicz | Counselor | 318 Maple Street, Winchendon, MA 01475 | 2017-11-30 |
| 1750819991 | Eye Center Optical, Inc. | Technician/Technologist | 13 Walnut Street, Winchendon, MA 01475 | 2017-06-01 |
| 1700154002 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 301 Central Street, Winchendon, MA 01475 | 2011-12-01 |
| 1205951308 | Town of Winchendon | Local Education Agency (LEA) | 175 Grove St, Winchendon, MA 01475 | 2007-03-20 |
| 1831575844 | Neuropsych and Public Safety Testing Servicesb | Community/Behavioral Health | 201 Central St, Winchendon, MA 01475-1256 | 2015-08-03 |
| 1952421141 | Broadview, Inc. | Assisted Living Facility | 547 Central St, Winchendon, MA 01475-1268 | 2007-03-30 |
| 1548231731 | David N Havlin | Family Medicine | 55 Hospital Dr, Winchendon, MA 01475-1279 | 2006-01-27 |
| 1417172404 | Cheryl Ann Fletcher | Registered Nurse | 12 Woodlawn St, Winchendon, MA 01475-1333 | 2007-04-16 |
| 1881793164 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 250 Central Street, Winchendon, MA 01475-1403 | 2006-09-22 |
| Find all providers in zip 01475 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366854481 | Carol Reich | Nurse Practitioner | 55 Hospital Dr, Winchendon, MA 01475-1820 | 2014-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | WINCHENDON |
| Zip Code | 01475 |
Please comment or provide details below to improve the information on RENEE M 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.