Debra Lynne Boucher, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN269526 Issued in MA

Practice address

326 Nichols Rd
Fitchburg, MA 01420-1914

Phone

(978) 878-8316

Fax

(978) 878-8468

NPI assigned

Dec 23, 2019

Last updated

Dec 23, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: debra.boucherrn.p1@direct.chcfhc.nextgenshare.com

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1972142990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PRINCETON ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014401833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 NICHOLS RD",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201914",
            "telephone_number": "978-878-8316",
            "fax_number": "978-878-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "DEBRA",
        "middle_name": "LYNNE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN269526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystina Kacee Bonilla, FNP-BC
• Rachel Ann Bordieri
• Joan Marie Boria, LMHC
• Bruce A Bornstein, M.D.
• Nicole M Boucher- Eccleston, AS
• Gail Louise Boucher
• Samantha Lee Boucher, RN
• Michelle Boudreau, NP-C
• Nance Anne Boudreau, MA
• Stephen John Bourgault, O.D.

• Registered Nurse in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.