MR. CHRISTIAN MARTIN BOUDREAUX (NPI# 1922637586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922637586 |
| Entity Type | Individual |
| Full Name | MR. CHRISTIAN MARTIN BOUDREAUX |
| Practice Address |
1142 Sw 9th Rd Apt 301 Gainesville FL 32601-2854 |
| Practice Telephone | 5126654639 |
| Mailing Telephone | 5126654639 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1142 SW 9TH RD APT 301 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
Please comment or provide details below to improve the information on MR. CHRISTIAN MARTIN BOUDREAUX.
| 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.