Andrea Marie Boucher, DNP, MSN, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APN0000016453 Issued in TN

Practice address

7800 Wolf Trail CV
Germantown, TN 38138-1753

Phone

(901) 682-9222

NPI assigned

Mar 30, 2012

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

Other names 1

• Ms. Andrea Marie Throne Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Nurse Midwife, Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andrea.boucher.1@16415.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4

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.

• Emory Medical Care Foundation Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1063452381
  Medicare reassignment NPD
• Emory Medical Care Foundation Inc

  • Obstetrics & Gynecology Physician
  • Atlanta, GA
  • NPI 1114183779
  NPD
• Emory Medical Care Foundation Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1225294739
  NPD
• Memphis Obstetrics and Gynecological Association PC

  • Obstetrics & Gynecology Physician
  • Bartlett, TN
  • NPI 1306884911
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1780950055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 CHAPEL WOODS CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381392505",
            "telephone_number": "901-517-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 WOLF TRAIL CV",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381753",
            "telephone_number": "901-682-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, MSN, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "APN0000016453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "THRONE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Nathan Boscaccy, A.T.,C. ; LAT
• Melissa R Bosserman, MSW, LCSW
• Barry Boston, MD
• Kaitlyn Caycee Bothwell
• Michele A Botnick, PTA
• George Howard Bouldien, DDSMS
• Shelby Bourgeois, CCC-SLP
• James N. Boutte, M.D.
• Benjamin David Bowman, M.D.
• Kathryn Mercer Boyd, DDS

• Advanced Practice Midwife in Germantown, TN
• Providers in Germantown, TN by specialty
• Advanced Practice Midwife in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.