Judith Anne Boule, M.D.
Individual provider Active NPI Family Medicine Physician · Keene, NH
NPI 1912939240 · NPPES record last updated Apr 16, 2012
Key facts
- NPI
- 1912939240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8485 (NH)
- Practice address
- 69 Island St Ste C
Keene, NH 03431-3507 - Phone
- (603) 354-6700
- Fax
- (603) 354-6704
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheshire Health Services Inc | Past |
Accepting new patients |
Interoperability endpoints
- jboule32013@direct.dartmouth-hitchcock.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8485 | NH | Yes |
Addresses
Primary practice location
69 Island St Ste C
Keene, NH 03431-3507
Mailing address
69 Island St Ste C
Keene, NH 03431-3507
Phone (603) 354-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004059 | Medicaid | NH |
Other providers in Keene, NH
- Erin M Bonaparte
- Alexander John Bonica
- Kathi Borden
- Tina Borsa
- Lynn A Boudreau
- Debra A Bourassa
- Steven P Boutrus
- Erin C Bowers
- Karen L Bowers
- Maranda Nicole Bowers
All providers in Keene, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.