ELAINE NAOMI BOUCHARD (NPI# 1104299775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104299775 |
| Entity Type | Individual |
| Full Name | ELAINE NAOMI BOUCHARD |
| Credential | CMT |
| Practice Address |
2414 21st St Sacramento CA 95818-2410 |
| Mailing Address |
9437 Fort Worth Way Sacramento CA 95827-1013 |
| Practice Telephone | 5303880615 |
| Mailing Telephone | 5303880615 |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 36438 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2414 21ST ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95818-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206557 | Ten Acres Pharmacy | Pharmacy | 2930 Freeport Blvd, Sacramento, CA 95818 | 2020-05-14 |
| 1467928200 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 3680 Crocker Dr, Ste 100, Sacramento, CA 95818 | 2018-10-19 |
| 1295254084 | Family Business Ventures LLC | In Home Supportive Care | 2026 X Street, Sacramento, CA 95818 | 2017-09-13 |
| 1932656550 | Roshelle Chan | Student in an Organized Health Care Education/Training Program | 1964 36th Street, Sacramento, CA 95818 | 2016-09-01 |
| 1144692724 | Ivyridge Assisted Living | Assisted Living Facility | 2030 23 Rd Street, Sacramento, CA 95818 | 2015-10-22 |
| 1255672788 | Kimberly Ann Delaney | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2013-03-07 |
| 1285985473 | Salatha Helton | Marriage & Family Therapist | 3067 Freeport Blvd Ste 8, Sacramento, CA 95818 | 2012-09-27 |
| 1508976382 | Victoria M Sarantopulos | Marriage & Family Therapist | 2015 21st St Suite 304, Sacramento, CA 95818 | 2006-08-30 |
| 1871986638 | Connected Speech Therapy, Inc. | Speech-Language Pathologist | 2741 Riverside Blvd Ste 2, Sacramento, CA 95818 | 2015-03-18 |
| 1851640965 | Chris Arbabian | Chiropractor | 2716 V Street, Sacramento, CA 95818 | 2012-09-05 |
| Find all providers in zip 95818 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886789 | Latosha Trenet Rivera | Massage Therapist | 3471 Wildwind Ct, Sacramento, CA 95827-3064 | 2020-09-22 |
| 1538774823 | Amber Marie Murray | Massage Therapist | 3400 Cottage Way Ste F2, Sacramento, CA 95825-1474 | 2020-09-13 |
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1043824121 | Clara Matthews | Massage Therapist | 8448 Amrita Ct, Sacramento, CA 95828-6620 | 2020-09-04 |
| 1649884453 | Xavier Couvson | Massage Therapist | 2051 Arena Blvd Ste 100, Sacramento, CA 95834-2311 | 2020-08-31 |
| 1932713732 | Danielle Dunn | Massage Therapist | 2920 Del Paso Blvd Apt 10, Sacramento, CA 95815-1439 | 2020-08-31 |
| 1710591532 | Natasha Henderson | Massage Therapist | 7371 Power Inn Rd Apt 213, Sacramento, CA 95828-3545 | 2020-08-31 |
| 1174081236 | Paul Brown | Massage Therapist | 717 K St Ste 306, Sacramento, CA 95814-3477 | 2019-03-07 |
| 1497229652 | Tiffany Bedolla | Massage Therapist | 717 K St Ste 514, Sacramento, CA 95814-3408 | 2019-01-21 |
| 1922574904 | Sam Dyer Stewart | Massage Therapist | 2784 Freeport Blvd, Sacramento, CA 95818-3053 | 2018-10-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95818 |
Please comment or provide details below to improve the information on ELAINE NAOMI BOUCHARD.
| 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.