Lori Lynn Boucard, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704197727 Issued in MI

Practice address

201 Mulholland St
Bay City, MI 48708-7693

Phone

(989) 895-2324

NPI assigned

Feb 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1689700635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 E CABIN LAKE RD",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619787",
            "telephone_number": "989-362-8636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULHOLLAND ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087693",
            "telephone_number": "989-895-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCARD",
        "first_name": "LORI",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704197727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ashley Bores
• Joshua Bornemann
• Lynnen Bostic
• Terri Botello
• Julie Kathryn Botimer, LAC, DIPL. O.M.
• Amanda Lynn Bouchard
• Katelyn Nicole Bouckaert, LLMSW
• Michael Donald Bouckaert, RPH.
• Ashley Christine Boudreau, REGISTERED NURSE
• Jill Bourcier-Schultz

• Psychiatric/Mental Health Registered Nurse in Bay City, MI
• Providers in Bay City, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.