Jessica Bouchard, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

2855 N Speer Blvd Ste B
Denver, CO 80211-4240

Phone

(720) 295-4515

Fax

(855) 710-2814

NPI assigned

Jan 15, 2015

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

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1376932285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 S GAYLORD CT APT C505",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133195",
            "telephone_number": "207-991-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 N SPEER BLVD STE B",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802114240",
            "telephone_number": "720-295-4515",
            "fax_number": "855-710-2814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_2": "Maine Med. Ctr. Outpatient Clinic",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-4238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1234",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bottner, PA-C
• Diane L Botton, NP
• Tess Bottorff, DNP, NNP-BC
• Brian Andrew Bouchard, MD
• Charlotte Ann Bouchard, LPC
• Katherine A Bouchard
• Lauren Lee Bouche', L.P.C.
• Abdelghani Bouchelit
• Zoe Marie Bouchelle, MD
• Shannon Boucher, MNT

• Registered Dietitian in Denver, CO
• Providers in Denver, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.