Louise J Bouchard, SERVICE COORDINATOR

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

667 Waterman Ave
East Providence, RI 02914-1712

Phone

(401) 438-9500

NPI assigned

Jul 28, 2006

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 identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Meeting Street Center

  • Hearing and Speech Clinic/Center
  • Providence, RI
  • NPI 1063534790
  NPD (past)
• Meeting Street Center

  • Multi-Specialty Clinic/Center
  • Providence, RI
  • NPI 1154443885
  NPD (past)
• Meeting Street Center

  • Early Intervention Provider Agency
  • Providence, RI
  • NPI 1720014442
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659385458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141712",
            "telephone_number": "401-438-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 WATERMAN AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141712",
            "telephone_number": "401-438-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "LOUISE",
        "middle_name": "J",
        "credential": "SERVICE COORDINATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI NHPRC",
            "identifier": "2092",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI BCHIP",
            "identifier": "412296",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ES01788",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI BLUE CROSS",
            "identifier": "292177",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EI UHP",
            "identifier": "6400144",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Christopher Borden, PHD
• Terryn Patricia Borkman
• Christopher Michael Botelho
• Danielle L Botelho, DC
• Kenneth Cushing Botelho, PA-C
• Meghan Elizabeth Bourne, RD, LDN, CDOE, CDCES
• Kaitlin Christina Boyer, RD
• Julie Elizabeth Braciszewski, PH.D.
• Brain Injury Association of Rhode Island
• Emily Branch, MS, RD, LDN

• Specialist in East Providence, RI
• Providers in East Providence, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.