COURTNEY LEIGH BOUCKE (NPI# 1831433119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831433119 |
| Entity Type | Individual |
| Full Name | COURTNEY LEIGH BOUCKE |
| Credential | N.P. |
| Practice Address |
300 Sierra College Dr 170 Grass Valley CA 95945-5082 |
| Practice Telephone | 5302734376 |
| Mailing Telephone | 5302734376 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2014-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
20879 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 SIERRA COLLEGE DR 170 |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396702874 | Andrew C Chang | Specialist | 300 Sierra College Dr, Ste.105, Grass Valley, CA 95945-5082 | 2006-04-27 |
| 1780148544 | Marie Claire Santos Basco | Nurse Practitioner | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2019-01-25 |
| 1073085478 | Hugh M Talman | Physical Therapist | 300 Sierra College Dr, Grass Valley, CA 95945-5082 | 2018-12-23 |
| 1255737755 | Melanie Conley | Physical Therapist | 300 Sierra College Dr, Ste. 165, Grass Valley, CA 95945-5082 | 2014-11-10 |
| 1013310028 | Daniela Pruzan | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2014-10-03 |
| 1023441821 | Jennifer Anne Hammer | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2013-08-15 |
| 1538506944 | Mary Debra Gutierrez | Physical Therapist | 300 Sierra College Dr, 165, Grass Valley, CA 95945-5082 | 2013-05-24 |
| 1235575978 | Katherine Neeb | Physical Therapist | 300 Sierra College Dr, 165, Grass Valley, CA 95945-5082 | 2013-05-21 |
| 1568716843 | Camille Woniya Kolodjay | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2012-11-07 |
| 1770869711 | Spring Hill Physical Therapy PC | Physical Therapist | 300 Sierra College Dr, Suite 165, Grass Valley, CA 95945-5082 | 2011-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225335920 | Donna Marie Murtaugh | Nurse Practitioner | 360 Sierra College Dr, Suite 120, Grass Valley, CA 95945-5088 | 2011-02-16 |
| 1053554816 | Rachel Sweet Kramer | Nurse Practitioner | 225 Colfax Ave, Grass Valley, CA 95945-6810 | 2009-04-09 |
| 1427072008 | Sierra Nevada Primary Care Physicians A Medical Corporation | Nurse Practitioner | 140 Litton Dr Ste 100, Grass Valley, CA 95945-5078 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.