Active NPI
Patricia Annette Boucher, APRN-CNP
- Family Nurse Practitioner
- Lawton, OK
National Provider Identifier
1114873700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 227951
- Practice address
- 5404 SW Lee Blvd
Lawton, OK 73505-9521 - Phone
- (580) 355-5242
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 227951 | OK | Primary |
Addresses
Primary practice location
5404 SW Lee Blvd
Lawton, OK 73505-9521
Mailing address
5404 SW Lee Blvd
Lawton, OK 73505-9521
Phone (580) 355-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227951 | OK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1114873700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059521",
"telephone_number": "580-355-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5404 SW LEE BLVD",
"city": "LAWTON",
"state": "OK",
"postal_code": "735059521",
"telephone_number": "580-355-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHER",
"first_name": "PATRICIA",
"middle_name": "ANNETTE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-06",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "227951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.