Karissa Anne Bouchie, RD, LD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2279 Issued in MN

Practice address

2823 Fresno Street
Community Regional Medical Center
Fresno, CA 93701

Phone

(559) 459-2882

NPI assigned

Jan 31, 2008

Last updated

Aug 20, 2013By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1821275942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-253-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO STREET",
            "address_2": "COMMUNITY REGIONAL MEDICAL CENTER",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93701",
            "telephone_number": "559-459-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHIE",
        "first_name": "KARISSA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "RD, LD, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "2279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Maria Botello
• Stacey Bottoms
• Chhoeuth Bou
• Isabella Boucher
• Jacob Robert Boucher
• Fady Boules
• Christina Bounyavong
• Yvette Bouphavong
• Dion S Bourdase
• Emily Bourdon

• Registered Dietitian in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.