Stephanie Bou-Abboud

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

R207815 Issued in MD

Practice address

1501 S Clinton St
Baltimore, MD 21224-5730

Phone

(410) 605-2558

NPI assigned

Jul 6, 2022

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1932832060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245730",
            "telephone_number": "410-605-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOU-ABBOUD",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MD",
            "license": "R207815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "AAG9112",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Botwe
• Marie Therese Bou Antoun, MD
• Nicole Bou Rjeily, MD
• Ghassan Bou Saba, MD
• Reeda Bou Said, MD
• Patrick Bou-Samra, MD
• Kerri L Bouchard, ACNP-BC
• David Boucher, AGNP-C
• Emily Boucher
• Henry R Boucher, MD

• Case Management Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Case Management Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.