Active NPI
Alyson Raynor Boudreau
- Foot & Ankle Surgery Podiatrist
- Washington, DC
National Provider Identifier
1215622188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 25MD00393700
- Practice address
- 110 Irving St. NW
Dept. of Podiatric Surgery
Washington, DC 20010 - Phone
- (202) 882-7917
- NPI assigned
- Apr 6, 2023
- Last updated
- Aug 18, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 25MD00393700 | NJ | Primary |
Addresses
Primary practice location
110 Irving St. NW
Dept. of Podiatric Surgery
Washington, DC 20010
Mailing address
110 Irving St. NW
Dept. of Podiatric Surgery
Washington, DC 20010
Phone (202) 882-7917
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00393700 | NJ | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1215622188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 IRVING ST. NW",
"address_2": "DEPT. OF PODIATRIC SURGERY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-882-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST. NW",
"address_2": "DEPT. OF PODIATRIC SURGERY",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-882-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAU",
"first_name": "ALYSON",
"middle_name": "RAYNOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NJ",
"license": "25MD00393700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.