Alyson Marie Boucher

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

701 Clark Avenue
Larimore, ND 58251

Phone

(218) 779-3229

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By the provider in NPPES

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)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• All of US in Recovery

  dba AIR RnR

  • Community/Behavioral Health Agency
  • Devils Lake, ND
  • NPI 1710701230
  NPD
• Lake to Prairie Investments LLC

  dba All of Us In Recovery

  • Case Management Agency
  • Devils Lake, ND
  • NPI 1356115505
  NPD

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1164289864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST NE STE 8",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CLARK AVENUE",
            "city": "LARIMORE",
            "state": "ND",
            "postal_code": "58251",
            "telephone_number": "218-779-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "ALYSON",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Welte Andrys, CNA
• Karen Banner
• Nancy McIntyre Byrd, DC
• Rex Jameson Byrd, DC
• Tara Marie Coble, OTR/L
• Samuel Gonzalez
• Dawn Hanson

• Case Manager/Care Coordinator in Larimore, ND
• Providers in Larimore, ND by specialty
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.