Jennifer Lee Bourassa, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LN97646 Issued in MA

Practice address

23 Strathmore Rd
Dartmouth, MA 02747-3113

Phone

(508) 264-7721

NPI assigned

Mar 7, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023718145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STRATHMORE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473113",
            "telephone_number": "508-264-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 STRATHMORE RD",
            "city": "DARTMOUTH",
            "state": "MA",
            "postal_code": "027473113",
            "telephone_number": "508-264-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURASSA",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MA",
            "license": "LN97646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Borgia
• Donna Lee Bosworth
• Jonathan Joseph Lima Botelho, LMHC
• Melissa K Botelho, P.N.P.
• Tara Ann Boukheir
• Andrew Christopher Boylan, M.D.
• Lisa Lee Bradley, LCSW
• Breeze Speech and Language Therapy, LLC
• Matthew Brillon, OD
• Benjamin Daniel Brink, MD

• Licensed Practical Nurse in Dartmouth, MA
• Providers in Dartmouth, MA by specialty
• Licensed Practical Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.