Active NPI
Natasha Alexandria Boulanger, LMP, LE
- Community Health Worker
- Everett, WA
National Provider Identifier
1619136280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 20642
- Practice address
- 7529 Beverly Blvd
Box 3
Everett, WA 98203-6770 - Phone
- (425) 923-4934
- NPI assigned
- Jun 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 20642 | WA | Primary |
Addresses
Primary practice location
7529 Beverly Blvd
Box 3
Everett, WA 98203-6770
Mailing address
7529 Beverly Blvd
Box 3
Everett, WA 98203-6770
Phone (425) 923-4934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20642 | WA | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212883200000",
"number": "1619136280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7529 BEVERLY BLVD",
"address_2": "BOX 3",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036770",
"telephone_number": "425-923-4934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7529 BEVERLY BLVD",
"address_2": "BOX 3",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036770",
"telephone_number": "425-923-4934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULANGER",
"first_name": "NATASHA",
"middle_name": "ALEXANDRIA",
"credential": "LMP, LE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-08",
"last_updated": "2008-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "WA",
"license": "20642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.