DR. CHRISTINE HELENE BOUCHARD (NPI# 1124046222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124046222 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE HELENE BOUCHARD |
| Credential | ARNP, PHD |
| Practice Address |
5406 Hoover Blvd Suite 21 Tampa FL 33634-5330 |
| Practice Telephone | 8132488149 |
| Practice Fax Number | 8138847085 |
| Mailing Telephone | 8132488149 |
| Mailing Fax Number | 8138847085 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
2586882 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
2586882 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376025809 | Christine Marie Bouchard | Social Worker | 1010 Waltham St, Lexington, MA 02421-8044 | 2018-08-31 |
| 1043534498 | Christine Marion Bouchard | Pharmacist | 40 Fennell St, Skaneateles, NY 13152-1122 | 2010-03-15 |
| 1154582492 | Christine M Bouchard | Surgery | 10710 Midlothian Tpke Ste 138, North Chesterfield, VA 23235-4766 | 2008-06-19 |
| Street Address |
5406 HOOVER BLVD SUITE 21 |
| City | TAMPA |
| State | FL |
| Zip Code | 33634-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194763557 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Tampa, FL 33634-5330 | 2006-06-04 |
| 1184236838 | Jose Ignacio Miranda | Pharmacist | 5406 Hoover Blvd, Tampa, FL 33634-5330 | 2020-08-22 |
| 1487993382 | E Dan Wolf | Veterinarian | 5406 Hoover Blvd, Ste 20, Tampa, FL 33634-5330 | 2013-02-12 |
| 1962775627 | Inaymis E Bernal | Health Educator | 5406 Hoover Blvd, Suite 18, Tampa, FL 33634-5330 | 2012-02-10 |
| 1740507755 | Orthopedic & Radiology Center Inc | Clinic/Center | 5406 Hoover Blvd, Suite 18, Tampa, FL 33634-5330 | 2010-04-29 |
| 1699004259 | Lakeside Occupational Medical Centers, Inc. | Clinic/Center | 5406 Hoover Blvd, Suite 21, Tampa, FL 33634-5330 | 2009-12-10 |
| 1306850185 | Maureen Levy | Preventive Medicine | 5406 Hoover Blvd, Tampa, FL 33634-5330 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729510 | Magaly Lozada | Pharmacist | 7011 West Waters Ave, Tampa, FL 33634 | 2020-10-27 |
| 1396223798 | Kayla Lashae Keaton | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-30 |
| 1396221008 | Hannah L. Fox | Developmental Therapist | 5091 Florida Mining Blvd., Suite 102, Tampa, FL 33634 | 2018-07-16 |
| 1417443623 | Leah Patrinostro | Developmental Therapist | 5091 Florida Mining Blvd, Suite 102, Tampa, FL 33634 | 2018-07-11 |
| 1265889208 | Shannon Stumbaugh | Specialist/Technologist, Other | 5224 Net Drive Apt 315, Tampa, FL 33634 | 2016-05-19 |
| 1487024469 | Brenda I Bryant | Counselor | 4902 Eisenhower Blvd Ste 295, Tampa, FL 33634 | 2015-10-02 |
| 1548697790 | Arlene A. Laing | Nurse Practitioner | 9009 Corporate Lake Drive, Suite 200, Tampa, FL 33634 | 2013-10-02 |
| 1942642301 | Yanet D. Perez Parra | Registered Nurse | 6821 W Hillsborough Ave Ste 10-11, Tampa, FL 33634 | 2013-07-25 |
| 1467794784 | Deanna Lynn Marr | Occupational Therapist | 6169 Lanshire Dr, Tampa, FL 33634 | 2013-03-25 |
| 1336489442 | Elbert Jamaal Taylor | Technician, Other | 8905 Benjamin Road, Tampa, FL 33634 | 2013-02-26 |
| Find all providers in zip 33634 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157669 | Lotaya Anneka Hinds | Nurse Practitioner | 2105 E 115th Ave, Tampa, FL 33612-6121 | 2020-09-03 |
| 1821608324 | Racquel Creus | Nurse Practitioner | 20530 Colonial Isle Dr Unit 202, Tampa, FL 33647-3701 | 2020-08-09 |
| 1295360717 | Geni Horne | Nurse Practitioner | 931 Balaye Ridge Cir Apt 301, Tampa, FL 33619-5093 | 2020-03-04 |
| 1669006748 | Andrea Barnett | Nurse Practitioner | 3133 W Villa Rosa St, Tampa, FL 33611-2943 | 2020-02-27 |
| 1679104566 | Chinwe Ifeyinwa Iloanya | Nurse Practitioner | 4603 River Hills Dr, Tampa, FL 33617-6921 | 2020-01-29 |
| 1598231789 | Christee Elan Bond | Nurse Practitioner | 4809 N Armenia Ave Ste 210, Tampa, FL 33603-1425 | 2018-10-16 |
| 1609378991 | Randolph Diabetes and Wellness LLC | Nurse Practitioner | 8017 Savannah Sunset Ln, Tampa, FL 33615-1388 | 2018-03-02 |
| 1912407628 | Jonathan D Pope | Nurse Practitioner | 2708 N 22nd St, Tampa, FL 33605-2760 | 2018-02-19 |
| 1639607732 | Jackie Dale Hatten Jr. | Nurse Practitioner | 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 | 2017-06-01 |
| 1629519814 | Kristen Hanenian | Nurse Practitioner | 4905 W Laurel St, Suite 200, Tampa, FL 33607-3834 | 2017-03-20 |
| Find all providers in TAMPA | ||||
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| 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.