NICOLE RENAE BOUCHER


Address: 1702 University Dr S, Fargo, ND 58103-4940
Phone: 7013643300

NICOLE RENAE BOUCHER (NPI# 1053530345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053530345
Entity Type Individual
Full Name NICOLE RENAE BOUCHER
Credential SLP
Practice Address 1702 University Dr S
Fargo
ND 58103-4940
Mailing Address Po Box 6001
Fargo
ND 58108-6001
Practice Telephone 7013643300
Practice Fax Number 7013648906
Mailing Telephone 7013643300
Mailing Fax Number 7013648906
Enumeration Date 2007-04-25
Last Update Date 2014-01-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 771 ND Speech, Language and Hearing Service Providers

Other Providers NICOLE BOUCHER

NPI Name Taxonomy Address Enumeration
1649724469 Nicole Boucher Physical Therapist 24 E Chicago Ave, Chicago, IL 60611 2016-08-10
1548511785 Nicole Boucher Behavioral Analyst 72 Jacques Ave, Worcester, MA 01610 2012-09-27
1225317035 Nicole Boucher Counselor 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 2011-08-10
1659674182 Nicole Lynn Boucher Nurse Practitioner 136 Kissane Ave, Suite A, Brighton, MI 48116-2467 2010-12-05
1093854903 Nicole Marie Boucher Counselor 185 Main Street, Suite 22, Spencer, MA 01562 2007-02-06

Office Location

Street Address 1702 UNIVERSITY DR S
City FARGO
State ND
Zip Code 58103-4940

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245223023 Kimberly Rae Kelly Dermatology 1702 University Dr S, Fargo, ND 58103-4940 2005-08-26
1467060046 Jessica Marie Munro Optometrist 1702 University Dr S, Fargo, ND 58103-4940 2020-07-20
1972132249 Kalee Irene Wysuph Student in an Organized Health Care Education/Training Program 1702 University Dr S, Fargo, ND 58103-4940 2020-04-07
1699314617 April M Sweet Nurse Practitioner 1702 University Dr S, Fargo, ND 58103-4940 2019-12-23
1427603588 Annelise Sterneman Nurse Practitioner 1702 University Dr S, Fargo, ND 58103-4940 2019-08-06
1518511799 Morgan A Schmitz Nurse Practitioner 1702 University Dr S, Fargo, ND 58103-4940 2019-07-26
1093367799 Josalyn J Grueneich Nurse Practitioner 1702 University Dr S, Fargo, ND 58103-4940 2019-07-12
1295395176 Amanda J Coronato Occupational Therapist 1702 University Dr S, Fargo, ND 58103-4940 2019-06-13
1962976068 Moriah M Anderson Dietitian, Registered 1702 University Dr S, Fargo, ND 58103-4940 2019-01-11
1811489743 Karli Lenae Roman Nurse Practitioner 1702 University Dr S, Fargo, ND 58103-4940 2018-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659924843 Amanda Hericks Dentist 1338 Gateway Drive S, Fargo, ND 58103 2019-07-17
1285298240 Ann Louise Breen Optometrist Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 2019-04-25
1245706597 Lisa Elaine Livingston Counselor 1337 14 and Half St. S., Fargo, ND 58103 2018-10-15
1528569662 Misty Lynn Hagen Counselor 901 28th St. South, Suite B, Fargo, ND 58103 2018-02-23
1083133011 Faith Homecare Professionals LLC Home Health 304 25th St S, Suite B, Fargo, ND 58103 2017-09-11
1982138749 Matthew Troyer Pharmacist 2425 13th Ave, Fargo, ND 58103 2017-04-18
1801338504 Amy Nguyen Christianson Chiropractor 1650 45th St S Ste 113, Fargo, ND 58103 2016-11-11
1245772359 Andrea Marie Hanson Nurse Practitioner 2400 32nd Ave South, Fargo, ND 58103 2016-11-07
1831647940 Abigail Carmen Burkett Vetter Nurse Practitioner 2928 University Dr S Suite 101, Fargo, ND 58103 2016-09-18
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
Find all providers in zip 58103

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013361302 Nancy Knowlton Speech-Language Pathologist 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 2016-04-22
1790145043 Deanna Pinnow Speech-Language Pathologist 37 N Terrace N, Fargo, ND 58102-3815 2016-02-29
1154798577 Aubrey Lynn Bergerson Speech-Language Pathologist 3700 54th St S, Fargo, ND 58104-7471 2015-09-02
1982088456 Carrie Rice Speech-Language Pathologist 1220 Main Ave Ste 120, Fargo, ND 58103-8201 2015-07-15
1023416534 Kids First Therapy, LLC Speech-Language Pathologist 1102 7th St S, Fargo, ND 58103-2712 2014-12-15
1083018790 Sarah Jo Ring Speech-Language Pathologist 3002 25th Ave S, Fargo, ND 58103-5021 2014-10-09
1770919441 Courtney Ann Simanski Speech-Language Pathologist 415 4th St. N., Fargo, ND 58102 2013-09-25
1306287610 Mckenzie Lee Speech-Language Pathologist 1717 S University, Feeding Disorders 3rd Floor, Fargo, ND 58103 2013-07-15
1083051072 Amanda Christine Walker Speech-Language Pathologist 3509 Interstate Blvd S, Suite B, Fargo, ND 58103-2200 2013-05-30
1801133806 Whitney N Christie Speech-Language Pathologist 5550 44th Ave S, Fargo, ND 58104-4349 2013-01-10
Find all providers in FARGO

Competitor

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City FARGO
Zip Code 58103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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