STACEY BOUCHARD (NPI# 1356682678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356682678 |
| Entity Type | Individual |
| Full Name | STACEY BOUCHARD |
| Credential | APRN-C |
| Practice Address |
260 Crest Rd Saint Albans VT 05478-9503 |
| Practice Telephone | 8025248805 |
| Practice Fax Number | 8025248939 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
101.0093987 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | STATE OF VT APRN LICENSE | 101.0093987 | 01 |
| Street Address |
260 CREST RD |
| City | SAINT ALBANS |
| State | VT |
| Zip Code | 05478-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336104934 | Kylee J Ladd | Physician Assistant | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2006-04-18 |
| 1780219063 | Alissa Peterson | Family Medicine | 260 Crest Rd, Saint Albans, VT 05478-9503 | 2020-03-07 |
| 1023542693 | Lindsay Claire Arzberger | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-04-20 |
| 1821536871 | Lucas James Carter | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2017-02-09 |
| 1134665888 | Barbara Mentzer | Registered Nurse | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2017-01-18 |
| 1497119978 | Jack E Visco | Nurse Practitioner | 260 Crest Rd, Suite 101, Saint Albans, VT 05478-9503 | 2016-04-11 |
| 1811357668 | Northwestern Medical Center, Inc. | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2016-03-07 |
| 1427445766 | Kelli Ann Borgman | Dietitian, Registered | 260 Crest Rd, Suite 202, Saint Albans, VT 05478-9503 | 2015-04-24 |
| 1437404860 | Amy E Pandya | Nurse Practitioner | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2012-07-23 |
| 1669754958 | Kristie Oliver | Physician Assistant | 260 Crest Rd, Suite 103, Saint Albans, VT 05478-9503 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306324710 | Stephanie Paulick-maloney | Audiologist | Northwestern Ear Nose and Throat, 10 Crest Road, St Albans, VT 05478 | 2018-07-30 |
| 1033632476 | Caroline D Homan | Speech-Language Pathologist | 596 Seymour Road, St. Albans City, VT 05478 | 2017-07-18 |
| 1891234514 | Baart Behavioral Health Services Inc | Clinic/Center | 242 S Main St, Saint Albans, VT 05478 | 2017-02-14 |
| 1336492073 | Vermont Medical Sleep Disorders Center, Inc. | Durable Medical Equipment & Medical Supplies | 6 Home Health Circle, Suite2, Saint Albans, VT 05478 | 2012-10-18 |
| 1598049454 | Genesis Rehab Services | Skilled Nursing Facility | 296 Sheldon Road, Saint Albans, VT 05478 | 2011-10-10 |
| 1942523576 | Heather Elizabeth Deslauriers | Pharmacist | 164 Swaton Rd, St.albans, VT 05478 | 2010-03-10 |
| 1154529451 | Elizabeth Maria Felcyn Dupont | Occupational Therapist | 596 Sheldon Road, St Albans, VT 05478 | 2007-07-07 |
| 1467674580 | James Robert Nelson | Counselor | 92 Fairfield Street, St. Albans, VT 05478 | 2007-05-02 |
| 1942429519 | Odette Susan Taylor | Physical Therapist | 3 Home Health Circle, St Albans, VT 05478 | 2007-04-24 |
| 1558588418 | Elizabeth Nelson Dmd PC | Dentist | 10 Mapleville Depot, St. Albans, VT 05478 | 2007-04-19 |
| Find all providers in zip 05478 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790263358 | Suzette Powell | Nurse Practitioner | 19807 Hollis Ave, Saint Albans, NY 11412-1229 | 2018-08-04 |
| 1063839975 | Sandra Robinson | Nurse Practitioner | 133 Fairfield St, Saint Albans, VT 05478-1726 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245842772 | Catherine Hall | Nurse Practitioner | 264 Quarry Hill Rd Apt 305, South Burlington, VT 05403-6362 | 2020-08-17 |
| 1710469481 | Nicholas A Fredette | Nurse Practitioner | 28 S. Williams St., Burlington, VT 05401 | 2018-08-30 |
| 1962906552 | Caroline Mcgarr Butler | Nurse Practitioner | 368 River St Ste 160, Springfield, VT 05156-2242 | 2018-03-20 |
| 1578070561 | Claudia Franc Williams | Nurse Practitioner | Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 | 2017-12-29 |
| 1487173860 | Kameron Escajeda | Nurse Practitioner | 128 Lakeside Ave Ste 260, Burlington, VT 05401-5911 | 2017-09-16 |
| 1467976381 | Richard William Gallagher | Nurse Practitioner | Enosburg Health Center, 382 Main Street, Enosburg Falls, VT 05450 | 2017-08-02 |
| 1336469337 | Jessica L Macleod | Nurse Practitioner | 142 Woodridge Drive, Berlin, VT 05602-9516 | 2010-06-02 |
| 1053559286 | Sandra Jean Palmer | Nurse Practitioner | 2032 Roosevelt Hwy, Box 283, Colchester, VT 05446-7233 | 2009-01-26 |
| 1790936615 | Deborah L Norton | Nurse Practitioner | 185 Tilley Drive, South Burlington, VT 05403 | 2008-10-09 |
| 1457524357 | Bonnie L Johnson | Nurse Practitioner | 12 Commons St Ste 1, Rutland, VT 05701-4651 | 2008-04-11 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 05478 |
Please comment or provide details below to improve the information on STACEY 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.