Active NPI
Emily Marie Bouchard, RDN
- Registered Dietitian
- Bowmansville, NY
National Provider Identifier
1962318865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 5360 Genesee St Ste 203
Bowmansville, NY 14026-1044 - Phone
- (315) 401-0590
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
5360 Genesee St Ste 203
Bowmansville, NY 14026-1044
Mailing address
1 Colomba Dr Ste 2
Niagara Falls, NY 14305-1275
Phone (315) 710-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1962318865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COLOMBA DR STE 2",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143051275",
"telephone_number": "315-710-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5360 GENESEE ST STE 203",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261044",
"telephone_number": "315-401-0590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHARD",
"first_name": "EMILY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowmansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.