Alexis Bouffard, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

61606 Issued in NM

Practice address

465 Saint Michaels Dr Ste 200
Santa Fe, NM 87505-8602

Phone

(303) 884-4172

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By the provider in NPPES

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

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1932818259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058602",
            "telephone_number": "303-884-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SAINT MICHAELS DR STE 200",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875058602",
            "telephone_number": "303-884-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUFFARD",
        "first_name": "ALEXIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NM",
            "license": "61606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Botwin Eye Group PA
• Jeremy Botwin, O.D.
• Jonathan Daniel Botwin, O.D.
• Mark Andrew Botwin, O.D. P.A.
• Vanlin Chan Botwin, O.D.
• Linda Lucy Boulanger, MD
• Troi Allison Boulanger, LCSW
• Anne Marie Terease Bourbeau
• Dawn Bourgeois, BMS
• John Bradford Bowden, M.D.

• Diabetes Educator Registered Nurse in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Diabetes Educator Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.