Renee Elena Boudreau

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19967 Issued in CA

Practice address

403 49TH St Ste E
Oakland, CA 94609-2101

Phone

(510) 629-9456

NPI assigned

Apr 26, 2024

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1740036102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 49TH ST STE E",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 49TH ST STE E",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946092101",
            "telephone_number": "510-629-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAU",
        "first_name": "RENEE",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallak Mukatash Botto
• Patricia Katina Bottom
• Elizabeth Anne Bottoms
• Geert Botzen, MFT, RDT
• Dalila Bouamama
• Elizabeth Bouffard, LAC
• Janine Bouie
• Oceane Bouju
• Faiza Boukerche, MD
• Magda A Boulay, DPT

• Acupuncturist in Oakland, CA
• Providers in Oakland, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.