Christine Helene Bouchard, ARNP, PHD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2586882 Issued in FL

Practice address

5406 Hoover Blvd
Suite 21
Tampa, FL 33634-5330

Phone

(813) 248-8149

Fax

(813) 884-7085

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: christine.bouchardaprn@direct.mybaycare.org

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1124046222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD",
            "address_2": "SUITE 21",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-248-8149",
            "fax_number": "813-884-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 HOOVER BLVD",
            "address_2": "SUITE 21",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345330",
            "telephone_number": "813-248-8149",
            "fax_number": "813-884-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "CHRISTINE",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "ARNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "2586882",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "FL",
            "license": "2586882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salvatore Michael Bottiglieri, PHARM.D.
• Jerilyn J Botwinik, APRN
• Abdelbaki Boubekri, ARNP
• Lauren Bouchacourt, CCC/SLP M.S.
• Carol Marie Bouchard, CRNA
• Edward W. Bouchard, M.D.
• Jann Bouchard
• David J Boudreaux, PH.D.
• Tami M Boudreaux, PT
• Willdith Niana Boue

• Adult Health Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.