JACKIE BOUCHARD (NPI# 1851438485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851438485 |
| Entity Type | Individual |
| Full Name | JACKIE BOUCHARD |
| Credential | ST |
| Practice Address |
181 Patricia Genova Drive Eastern Rehabilitation Network (5th Floor) Newington CT 06111 |
| Practice Telephone | 8606645480 |
| Practice Fax Number | 8606678416 |
| Mailing Telephone | 8606645480 |
| Mailing Fax Number | 8606678416 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | 001413 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
181 PATRICIA GENOVA DRIVE EASTERN REHABILITATION NETWORK (5TH FLOOR) |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038791 | Craig Alver | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-23 |
| 1003958406 | Christine Huebner | Audiologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-13 |
| 1720129208 | Nancy Ough | Nurse's Aide | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-09 |
| 1629118575 | Marilyn Beaulieu | Nurse's Aide | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-08 |
| 1154461002 | Ellen Franks | Physical Therapist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-08 |
| 1255471785 | Diantha Morse | Audiologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-07 |
| 1043350564 | Kristina Labieniec | Home Health Aide | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-07 |
| 1205976768 | Robin Dexter | Registered Nurse | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-07 |
| 1386784387 | Sharon Davis | Registered Nurse | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-07 |
| 1831239979 | Richard Sears | Registered Nurse | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558409672 | Karin Kupperschmidt | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1790823821 | Patricia Macary | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1295807063 | Sarah Macseain | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-11-15 |
| 1356434815 | Robyn Demarco | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-10-02 |
| 1720015043 | Erin Lewis | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
| 1639106958 | Julie Rosenblum | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
| 1962438754 | Rhonda Hickey | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-23 |
| 1083640999 | Erica Chiechi | Specialist/Technologist | 181 Patricia Genova Drive, 5th Floor Eastern Rehabilitation Network, Newington, CT 06111 | 2006-06-23 |
| 1053382903 | Janice Falk | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-30 |
| 1205807906 | Mary Purdy | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-01-30 |
| Find all providers in NEWINGTON | ||||
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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.