Jody Bouchard, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704088310 Issued in MI

Practice address

3156 Bolgos Cir
Ann Arbor, MI 48105-1564

Phone

(734) 615-3267

Fax

(734) 615-4674

NPI assigned

Sep 1, 2009

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

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1992938377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 BOLGOS CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051564",
            "telephone_number": "734-615-3267",
            "fax_number": "734-615-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 BOLGOS CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051564",
            "telephone_number": "734-615-3267",
            "fax_number": "734-615-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHARD",
        "first_name": "JODY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704088310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Rae Botterill, PA
• Wessam Boutros Bou-Assaly
• Ellen Clair Bouazizi, MD
• Rachel Boucha, LLMSW
• Claire Catherine Bouchard, DNP, AGACNP-BC
• Anne-Marie Yvonne Boucher, NP
• Aubrey Lynn Boucher, PA-C
• Chantal. Marie Boucher, B.A.H, M.A., PH.D.
• Kelsey Boudjalis
• Benjamin Boudreau, MD

• Registered Nurse in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.