Laura Mae Bouchard, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN68788 Issued in ME

Practice address

50 Summer St
Millinocket, ME 04462-1400

Phone

(366) 866-5842

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Mae Nicholson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1881249779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CANYON DR",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044622328",
            "telephone_number": "297-731-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SUMMER ST",
            "city": "MILLINOCKET",
            "state": "ME",
            "postal_code": "044621400",
            "telephone_number": "366-866-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "LAURA",
        "middle_name": "MAE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "ME",
            "license": "RN68788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "NICHOLSON",
            "middle_name": "MAE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Ayotte, MPT
• Nancy Boyd Bears, IPDH
• Jane M. Bennett, M.S. CCC-SLP
• Gretchen M Berry, R.N.
• Jennifer L Bissonnette, RN
• Breaking the Cycle
• Richard M Cabot, M.D.
• Hilary R Campbell, MSOT/L
• Jason F Campbell, MD
• Cheryl W Carrell, RN

• Case Management Registered Nurse in Millinocket, ME
• Providers in Millinocket, ME by specialty
• Case Management Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.