Debora A Boucher, APRN-FPA, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

277000293 Issued in IL

Practice address

40826 N Ridge Cir
Antioch, IL 60002-9545

Phone

(847) 975-7115

Fax

(888) 959-0674

NPI assigned

Jul 19, 2008

Last updated

Sep 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childbirth the Way Nature Intended Inc

  • Advanced Practice Midwife
  • Antioch, IL
  • NPI 1720306491
  NPD Authorized official

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

{
    "created_epoch": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1710142799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40826 N RIDGE CIR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029545",
            "telephone_number": "847-975-7115",
            "fax_number": "888-959-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40826 N RIDGE CIR",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600029545",
            "telephone_number": "847-975-7115",
            "fax_number": "888-959-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "DEBORA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN-FPA, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-19",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209007144",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "277000293",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.349335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "notavailable.com",
            "affiliation": "N",
            "endpointDescription": "We don't have an Endpoint.",
            "address_1": "218 S Main St",
            "city": "Wauconda",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600841866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liam Bernabe
• Beyond Rehab, LLC
• Beau Blumenschein, PHARM.D.
• Daniel J Boarini, D.D.S.
• Danielle Boettcher, LCPC, PHD
• Carl Lee Brakman, LCSW
• Danielle Brose, MS, OTR/L
• Linda Mary Brown, PSY.D
• Alyssa Brunner
• Kathleen Buster

• Advanced Practice Midwife in Antioch, IL
• Providers in Antioch, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2023; 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.