Anissa Boudreau, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DCP00654 Issued in RI

Practice address

712 Putnam Pike Unit 4
Chepachet, RI 02814-1404

Phone

(401) 568-2200

NPI assigned

Aug 9, 2017

Last updated

Oct 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Malchar ChiropracticGroup PAC ID 8820185093, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Evergreen Family Chiropractic, LLC

  • Chiropractor
  • Chepachet, RI
  • NPI 1780568790
  Medicare reassignment NPD Authorized official
• Malchar Chiropractic

  • Chiropractor
  • Warwick, RI
  • NPI 1265636500
  Medicare reassignment Care Compare group NPD
• Glocester Family Chiropractic, Inc

  • Chiropractor
  • Chepachet, RI
  • NPI 1730364316
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790985600000",
    "number": "1346765450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PUTNAM PIKE UNIT 4",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028141404",
            "telephone_number": "401-285-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 PUTNAM PIKE UNIT 4",
            "city": "CHEPACHET",
            "state": "RI",
            "postal_code": "028141404",
            "telephone_number": "401-568-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "ANISSA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2026-10-03",
        "certification_date": "2026-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "04813",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Behavioral Consultation, LLC
• Leslie V. Alonzo, FNP
• Paul F. Barry, MSW
• Gianna Benedetti, MS
• Monica Anna Blanchette, LMHC, RDT, APS
• John Breault, LCSW
• Karin L Capobianco, LICSW
• Keith L Castilloveitia, APRN ACNPC-AG
• Chepachet Fire District
• Chepachet Pharmacy, Inc.

• Chiropractor in Chepachet, RI
• Providers in Chepachet, RI by specialty
• Chiropractor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.