KATHERINE MARIE BOUCHER


Address: 3000 Coliseum Dr, Hampton, VA 23666-5963
Phone: 7577361000

KATHERINE MARIE BOUCHER (NPI# 1417417213) 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) 1417417213
Entity Type Individual
Full Name KATHERINE MARIE BOUCHER
Credential NP
Practice Address 3000 Coliseum Dr
Hampton
VA 23666-5963
Mailing Address 8177 Ruddock Pl
Hayes
VA 23072-3754
Practice Telephone 7577361000
Mailing Telephone 8043377403
Enumeration Date 2019-03-20
Last Update Date 2019-03-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024176788 VA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KATHERINE BOUCHER

NPI Name Taxonomy Address Enumeration
1487148763 Katherine Anne Boucher Marriage & Family Therapist 508 Higuera St, San Luis Obispo, CA 93401-3835 2018-06-19
1922517515 Katherine Boucher Speech-Language Pathologist 5000 Fairbanks Ave, Alexandria, VA 22311-1246 2017-09-26

Office Location

Street Address 3000 COLISEUM DR
City HAMPTON
State VA
Zip Code 23666-5963

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457355075 Ilham Cherrouk Grant Hospitalist 3000 Coliseum Dr, Hampton, VA 23666-5963 2005-06-10
1639783798 Aftab Dee Shaikh Physician Assistant 3000 Coliseum Dr, Hampton, VA 23666-5963 2020-09-04
1205462496 Lindsay Morgan Wilson Nurse Practitioner 3000 Coliseum Dr, Hampton, VA 23666-5963 2020-03-19
1346898715 Megan Leanne Mancinelli Physician Assistant 3000 Coliseum Dr, Hampton, VA 23666-5963 2019-08-29
1811541519 Hope Christopher Page Nurse Practitioner 3000 Coliseum Dr, Hampton, VA 23666-5963 2019-07-31
1861958712 Emily Dickerson Nurse Practitioner 3000 Coliseum Dr, Hampton, VA 23666-5963 2019-02-15
1013481829 Mary Townsend Adams Nurse Practitioner 3000 Coliseum Dr, Hampton, VA 23666-5963 2019-01-15
1801327457 Rachel Lavender Physician Assistant 3000 Coliseum Dr, Hampton, VA 23666-5963 2017-03-24
1629427588 Mary Kathryn Winters Physician Assistant 3000 Coliseum Dr, Hampton, VA 23666-5963 2016-06-10
1992164081 Amy Brown Nurse Anesthetist, Certified Registered 3000 Coliseum Dr, Hampton, VA 23666-5963 2016-02-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134626385 Julie-ann Johnson Nurse Practitioner 1018 Pampas Way, Hampton, GA 30228-6058 2018-04-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609481787 Heather E Allmon Nurse Practitioner 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 2020-09-15
1982214813 Brandon Lawrence Johnson Nurse Practitioner 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 2020-08-05
1245857143 James Daniels Nurse Practitioner 268 Foster Rd, Danville, VA 24541-7568 2020-06-26
1962029827 Benita Davis Bocanegra Nurse Practitioner 1424 Old Station Loop, Hardy, VA 24101-3600 2020-06-26
1487270450 Courtney Bailey Jones Nurse Practitioner 1708 Lee Dr, Farmville, VA 23901-2399 2020-06-24
1902421555 Christy Marie Clark Nurse Practitioner 516 Vance Hill Rd, Danville, VA 24540-6406 2020-06-10
1164046678 Comprehensive Advanced Practice Nursing Care Pllc Nurse Practitioner 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 2020-06-01
1841822194 Sharon Njuguna Nurse Practitioner 8201 Shannon Hill Rd, Richmond, VA 23229-4911 2020-02-05
1255962890 Trisha Marie Kasap Nurse Practitioner 13909 Preacher Chapman Pl, Centreville, VA 20121-3531 2020-02-02
1023648086 Sherrica Minor Nurse Practitioner 1731 Hudgins Farm Cir, Fredericksburg, VA 22408-4179 2020-01-17
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Competitor

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City HAMPTON
Zip Code 23666

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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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