Deborah Ann Boudreaux

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

2083 Dillonwood CT
Kemah, TX 77565-3239

Phone

(713) 499-0769

Fax

(270) 573-8926

NPI assigned

Aug 7, 2008

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1790931905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 DILLONWOOD CT",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775653239",
            "telephone_number": "713-499-0769",
            "fax_number": "270-573-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 DILLONWOOD CT",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775653239",
            "telephone_number": "713-499-0769",
            "fax_number": "270-573-8926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Bailey, LPC
• Ashley Balinski, AA
• David Balmer, LCDC
• Carl H Bechtel, D.C
• Brandy Dawn Blanchard, RN
• Floyd David Britton, D.D.S.
• Taylor Brown, RN
• C H Wilkinson Physician Network
• Candice Caillier, LCSW
• Makena Shae Castorena

• Nutritionist in Kemah, TX
• Providers in Kemah, TX by specialty
• Nutritionist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.