Lindsay Ann Bouchard, DNP, PMHNP-BC, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10000 Issued in AZ

Practice address

1260 S Campbell Ave BLDG 2
Green Valley, AZ 85614-0502

Phone

(520) 407-5400

Fax

(520) 407-5990

NPI assigned

Apr 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lindsay Cais Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

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.

• Community Partners Integrated Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1669897385
  NPD (past)

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1417480427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S PARK AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141635",
            "telephone_number": "520-333-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE BLDG 2",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140502",
            "telephone_number": "520-407-5400",
            "fax_number": "520-407-5990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141635",
            "country_code": "US",
            "telephone_number": "520-333-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "LINDSAY",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "CAIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sage Bergstrom, MSW LCSW
• Eric Black, DDS
• Fern L Blizzard, RN, HEALTH EDUCATOR
• Boone Optical Services, Inc.
• Thomas Bottoms, O.D.
• Arlo B Brakel, M.D.
• Joy Brashear, RPH
• Kathryn G. Breese, D.C.
• Robert Andrew Brick, MD
• Bright Sight Optometry PLLC

• Psychiatric/Mental Health Nurse Practitioner in Green Valley, AZ
• Providers in Green Valley, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.