Ann Louise Bouck, FNP, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

K293431 Issued in CA

Practice address

3232 Thunder Dr
Oceanside, CA 92056-4447

Phone

(760) 721-2493

Fax

(760) 724-2137

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• North County Nurse Practitioner Services a Professional Nursing Corpor

  • Nurse Practitioner
  • Vista, CA
  • NPI 1598361206
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598659200000",
    "number": "1861543563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 VALE VIEW DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816722",
            "telephone_number": "442-232-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 THUNDER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564447",
            "telephone_number": "760-721-2493",
            "fax_number": "760-724-2137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 Via Ctr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816056",
            "country_code": "US",
            "telephone_number": "760-940-7000",
            "fax_number": "760-940-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Vale View Dr",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920816722",
            "country_code": "US",
            "telephone_number": "442-232-7540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCK",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-29",
        "certification_date": "2020-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP12518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "K293431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martie Booth
• Ian Borck
• Ariana Borgaily, M.S. OTR/L
• Shahrazad La Mae Botello, RDH, RDHAP
• Jennifer Marie Bou, LVN
• Alyssa Marie Bouk
• Summer Jo Bowden
• Justin Bowles, M.D.
• Brianna Kim Bowman
• Boy Or Girl Imaging/ 1St Choice Ultrasound

• Family Nurse Practitioner in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2020; 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.