Marley Boucicaut Boucicaut

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9658465 Issued in NJ

Practice address

6424 18TH Ave
Brooklyn, NY 11204-3729

Phone

(917) 830-2695

NPI assigned

Mar 26, 2025

Sex

Female

Sole proprietor

No

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1053113456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 SAN MARCO CIR APT 102",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334031845",
            "telephone_number": "929-288-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043729",
            "telephone_number": "917-830-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCICAUT",
        "first_name": "MARLEY BOUCICAUT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "RN9658465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherly Bouche
• Christya Boucher, M.S.ED
• Diana Boucher, LMSW
• Michael D Boucher, P.A.
• Lena Bouchkanets, O.T.
• Lilia Boudnik, CD
• Leon Dimitrios Boudourakis, MD, MHS
• Gabrielle Boudreau, MSN, WHNP
• Kate Irene Boudreau, MD, MPH
• Matthew Bough, MD

• Registered Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.