Individual provider Active NPI

Linda Marie Boudreau

  • Assistant Health Information Record Technician
  • Sacramento, CA
National Provider Identifier
1174185342
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Health Information Record TechnicianTaxonomy code 2470A2800X
Practice address
2890 Gateway Oaks Dr Ste 250
Sacramento, CA 95833-4328
Phone
(855) 421-6831
NPI assigned
Jul 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Health Information Record Technician 2470A2800X Primary

Addresses

Primary practice location

2890 Gateway Oaks Dr Ste 250
Sacramento, CA 95833-4328

Mailing address

2890 Gateway Oaks Dr Ste 250
Sacramento, CA 95833-4328
Phone (855) 421-6831

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address boudrelm@sutterhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1174185342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334328",
            "telephone_number": "855-421-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334328",
            "telephone_number": "855-421-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2470A2800X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information, Assistant Record Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boudrelm@sutterhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2890 Gateway Oaks Dr Ste 250",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958334328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.