Kelly Bourdierd

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

526 W 147TH St Apt 53
New York, NY 10031-4524

Phone

(646) 498-2397

NPI assigned

Mar 28, 2025

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

• Kelly B Bourdierd Sanchez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1689477390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 W 147TH ST APT 53",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314524",
            "telephone_number": "646-498-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 W 147TH ST APT 53",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100314524",
            "telephone_number": "646-498-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURDIERD",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "BOURDIERD SANCHEZ",
            "middle_name": "B",
            "credential": "KELLY BOURDIERD SANC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isabelle Quinn Boundy
• Caroline Samantha Bourassa, CPNP
• Stephanie Paige Bourassa, MSTOM, LAC
• Rina Bourbia
• Gabrielle Lucia Bourdeau
• Jon-Paul Bourgelais
• Christian A. Bourgeois, CRNA
• Katherine G Bourgeois, LCSW
• Sharon Micheline Bourgeois, PH.D.
• Taylor Bourgeois, MD

• Technician in New York, NY
• Providers in New York, NY by specialty
• Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.