MRS. JESSICA BOUCHARD (NPI# 1376932285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376932285 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BOUCHARD |
| Credential | RD |
| Practice Address |
2855 N Speer Blvd Ste B Denver CO 80211-4240 |
| Mailing Address |
3485 S Gaylord Ct Apt C505 Englewood CO 80113-3195 |
| Practice Telephone | 7202954515 |
| Practice Fax Number | 8557102814 |
| Mailing Telephone | 2079912086 |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | DI1234 | ME | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22 Bramhall St, Maine Med. Ctr. Outpatient Clinic, Portland, ME 041023134 | 2076624238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023247608 | Jessica Faye Bouchard | Physician Assistant | 4110 Medical Center Dr, Fayetteville, NY 13066-6613 | 2009-07-05 |
| Street Address |
2855 N SPEER BLVD STE B |
| City | DENVER |
| State | CO |
| Zip Code | 80211-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972125888 | Healing Ground Counseling, LLC | Counselor | 2855 N Speer Blvd Ste B, Denver, CO 80211-4240 | 2020-05-13 |
| 1710524046 | Emily Crouter | Social Worker | 2855 N Speer Blvd Ste B, Denver, CO 80211-4240 | 2019-12-05 |
| 1700391687 | Suzanne Sellers | Counselor | 2855 N Speer Blvd Ste B, Denver, CO 80211-4240 | 2017-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818869 | Naomi Victoria Akwei-esterline | Community/Behavioral Health | 2640 W 26th Ave, Suite 217, Denver, CO 80211 | 2020-07-16 |
| 1073095436 | Kelsey Briana Vincent | Marriage & Family Therapist | 2855 Speer Blvd, Denver, CO 80211 | 2018-09-02 |
| 1669968806 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2490 W 26th Ave Ste 200, Denver, CO 80211 | 2018-07-10 |
| 1578061420 | Colorado Foot and Ankle Research Institute | Podiatrist | 3438 Federal Blvd, Denver, CO 80211 | 2018-01-25 |
| 1437668670 | Timothy Daniel Conwell | Chiropractor | 4444 Umatilla St., Denver, CO 80211 | 2017-09-20 |
| 1609390632 | 38th Modern Dental Practice, LLC | Dentist | 3550 W 38th Ave., #5, Denver, CO 80211 | 2017-08-01 |
| 1063951473 | Samuel Hawkins | Counselor | 2560 W. 29th, Denver, CO 80211 | 2017-02-17 |
| 1972045011 | Margaret Reynolds | Counselor | 2727 Bryant St Ste 510, Denver, CO 80211 | 2016-11-07 |
| 1508312141 | Kim Johnson | Counselor | 2460 W 26th Ave Denver, Denver, CO 80211 | 2016-09-01 |
| 1154877470 | Sara Galan | Counselor | 2405 W. 26th Ave, Denver, CO 80211 | 2016-08-28 |
| Find all providers in zip 80211 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134157 | Lillian Mary Berman | Dietitian, Registered | 4343 Montview Blvd, Denver, CO 80207-3727 | 2020-11-05 |
| 1598364101 | Alyssa Thomas | Dietitian, Registered | 2500 S York St Apt 304, Denver, CO 80210-5260 | 2020-10-23 |
| 1598363046 | Aryn K Doll | Dietitian, Registered | 1515 W Alaska Pl, Denver, CO 80223-1901 | 2020-10-15 |
| 1194323766 | Talia Adler | Dietitian, Registered | 1090 N Lafayette St Apt 502, Denver, CO 80218-3153 | 2020-10-15 |
| 1265047054 | Elizabeth H Kealey | Dietitian, Registered | 2535 W 35th Ave, Denver, CO 80211-2846 | 2020-09-09 |
| 1881205003 | Riley M Peterson | Dietitian, Registered | 1145 N Downing St, Denver, CO 80218-2915 | 2020-08-11 |
| 1902416779 | Naomi Solomon | Dietitian, Registered | 3725 E Buchtel Blvd, Apt 421, Denver, CO 80210-8021 | 2020-08-05 |
| 1467061598 | Rebekah Agard | Dietitian, Registered | 1379 S Logan St, Denver, CO 80210-2222 | 2020-07-24 |
| 1205450343 | Ashley Sigmund | Dietitian, Registered | 1240 Xavier St, Denver, CO 80204-1018 | 2020-06-04 |
| 1366065435 | Monica Salafia | Dietitian, Registered | 978 Krameria St, Denver, CO 80220-4617 | 2020-05-24 |
| Find all providers in DENVER | ||||
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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.