DANIELLE A. BOUCHER M.D. NPI 1508850504

NPI Information

  • NPI: 1508850504
  • Provider Name: DANIELLE A. BOUCHER, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 1220 N HIGHWAY A1A STE 147
    INDIALANTIC, FL
    ZIP 32903
  • Phone: (321) 242-8790

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NPI Details

Danielle A. Boucher, M.D. is a gynecology obstetrics gynecology in Indialantic, FL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Danielle A. Boucher, M.D. NPI is 1508850504. 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:

1220 N HIGHWAY A1A STE 147
INDIALANTIC, FL
ZIP 32903-858
Phone: (321) 242-8790
Fax: (321) 242-1541

The enumeration date for this NPI number is 9/6/2005 and was last updated on 6/21/2018.

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
1207VG0400XObstetrics & GynecologyGynecologyME82139FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151172OTHERFLORIDAFLORIDA BLUE (BCBS OF FL)
25481530001OTHERFLORIDACIGNA
3P01164038OTHERFLORIDARR MEDICARE
42599246OTHERFLORIDAAETNA

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: 3/30/2025

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