Kari Jean Boudreau, DOCTOR CHIROPRACTIC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3537 Issued in MN

Practice address

505 1St Ave NE
Minneapolis, MN 55413-4541

Phone

(612) 424-6944

NPI assigned

Mar 28, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Ambiente Gallerie LLC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1598180408
  NPD (past) Authorized official
• Art District Chiropractic, LLC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1912299405
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1609995216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 1ST AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134541",
            "telephone_number": "612-424-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 1ST AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134541",
            "telephone_number": "612-424-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "KARI",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR CHIROPRACTIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Fouad Bou-Abboud, DO
• Laura Bou-Maroun, MD
• Alexander Albert Boucher, MD
• Jerra-Lynn Boudjouk, CCC-SLP
• Carla Renea Boudoir, CNP
• Magy Hany Boules Beskales
• Christina Lee Boull, MD
• David Robert Boulware, MD, MPH
• Chandra Arlene Bouma, MD
• Mirna Georges Boumitri, M.D.

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.