Jeannette Yvonne Bouchard, BS SOCAIL SCIENCE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1515 S Oregon Street
Suite a
Yreka, CA 96097

Phone

(530) 842-3455

Fax

(530) 842-7917

NPI assigned

May 3, 2007

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

Other names 1

• Jeannette Hays Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154543502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 322",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S OREGON STREET",
            "address_2": "SUITE A",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "96097",
            "telephone_number": "530-842-3455",
            "fax_number": "530-842-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JEANNETTE",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "BS SOCAIL SCIENCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "HAYS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larry Dean Blazier, RNFA
• Judith C Blind, FNP
• Ronney Lynn Bolkcom
• Stephan Bonkowski
• Lavonne Bontrager
• Braden Partners LP
• Charity Ann Bradley, FNP
• Kathleen Brandt, FNP
• Edith E Broce
• Judy P Broeckel, M.D.

• Case Manager/Care Coordinator in Yreka, CA
• Providers in Yreka, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.