Raquel Bouton

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10303300 Issued in NY

Practice address

2 Domino Way
Mount Sinai, NY 11766-2715

Phone

(631) 828-2882

NPI assigned

May 8, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

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

• Raquel Bouton

  • Local Education Agency (LEA)
  • Mount Sinai, NY
  • NPI 1093074312
  NPD (past) Authorized official

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336435200000",
    "number": "1255690558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DOMINO WAY",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662715",
            "telephone_number": "631-828-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DOMINO WAY",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662715",
            "telephone_number": "631-828-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTON",
        "first_name": "RAQUEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10303300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Bellias
• William Stephen Bezmen, PMH.CS
• Robyn Blumstein
• Susan Bongiorno, LMSW
• Franklin Bosio, RPH
• Christine Bradley
• Brian S. Yonks DC PC
• Bright Star Occupational & Physical Therapy, PLLC
• Deborah Brown
• Michelle Brummerloh

• Licensed Practical Nurse in Mount Sinai, NY
• Providers in Mount Sinai, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.