KATELIN ASHLEY BOUCHARD APRN NPI 1013507110

NPI Information

NPI: 1013507110
Provider Name: KATELIN ASHLEY BOUCHARD, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MC DIAGNOSTIC OF CONNECTICUT PC

PECOS Registration: Yes

Address:
130 COLLINS RD
BRISTOL, CT
ZIP 06010
Phone: (860) 919-5626
Get Directions

Katelin Ashley Bouchard, APRN is a family nurse practitioner in Bristol, CT with 4 years of experience. Katelin Ashley Bouchard, APRN NPI is 1013507110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

130 COLLINS RD
BRISTOL, CT
ZIP 06010-859
Phone: (860) 919-5626

The NPI 1013507110 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/22/2021 and was last updated on 2/26/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QH0002X	Family Medicine	Hospice and Palliative Medicine	9445	CONNECTICUT	No
2	363LF0000X	Nurse Practitioner	Family	9445	CONNECTICUT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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