Sara Boudrie, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-135275 Issued in MI

Practice address

2390 Harris CT
San Jose, CA 95124-1127

Phone

(734) 652-2839

NPI assigned

Sep 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sara McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535932800000",
    "number": "1215419684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 HARRIS CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 HARRIS CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951241127",
            "telephone_number": "734-652-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDRIE",
        "first_name": "SARA",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2018-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MI",
            "license": "L-135275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MCDONALD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Botros, M.D.
• Graham Neil Bottoms, LMFT
• Trevor L Bottorff, LAADC, CSC
• Linda Susan Boucher, BA, CADCII
• Allison Margaret Bouck, CRNA
• Elaine Suzanne Bouffard
• Rabea Bounar, P.A.-C
• Boundless Care, Inc.
• Hinda Boutrid, MD
• Karen Bowen, OTR/L

• Lactation Consultant (Registered Nurse) in San Jose, CA
• Providers in San Jose, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2018; 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.