Laura Carol Boucher, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002208 Issued in OH

Practice address

453 W 10TH Ave
Columbus, OH 43210-2205

Phone

(614) 203-3178

NPI assigned

May 8, 2007

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

• Ms. Laura C Gadiner Other 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1295948974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 ACKERLY FARM RD",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430549608",
            "telephone_number": "614-203-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 W 10TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432102205",
            "telephone_number": "614-203-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "LAURA",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT002208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GADINER",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Irina N Boubeleva, LMT, MS
• Khaled Boubes, M.D.
• Soumya Bouchachi, M.D.
• Traci Ann Bouchard, MD
• Erick Matthew Boucher, ATC
• Stacey Marie Boucher, FNP
• Stephanie Boucher, LPN
• Lauren Louise Boucherle, PA-C
• Konstantinos D Boudoulas, M.D.
• Michelle Leigh Boudoulas, CRNA

• Athletic Trainer in Columbus, OH
• Providers in Columbus, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.