MRS. ANNA SWANSON BOUCHARD (NPI# 1477062594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477062594 |
| Entity Type | Individual |
| Full Name | MRS. ANNA SWANSON BOUCHARD |
| Credential | AGACNP-BC |
| Practice Address |
61 Whitcher St Ne Marietta GA 30060-1176 |
| Mailing Address |
61 Whitcher St Ne Ste 3110 Marietta GA 30060-1179 |
| Practice Telephone | 7704222326 |
| Practice Fax Number | 7704227797 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2017-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN164917 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | APRN LICENSE | RN164917 | 01 |
| Street Address |
61 WHITCHER ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014568 | Richard W Cohen | Orthopaedic Surgery | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2005-09-21 |
| 1376050955 | Gina M Soto | Nurse Practitioner | 61 Whitcher St Ne, Marietta, GA 30060-1176 | 2018-01-04 |
| 1396281200 | Trevor J Wallace | Physician Assistant | 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 | 2017-01-17 |
| 1720537327 | Taylor Dellinger | Nurse Practitioner | 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 | 2016-09-25 |
| 1164871117 | Georgiana Massad | Physician Assistant | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2016-06-10 |
| 1134593809 | Sarah Applegarth | Physician Assistant | 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 | 2015-11-18 |
| 1336543529 | Wellstar Medical Group, LLC | Internal Medicine | 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 | 2014-10-16 |
| 1346660198 | Catherine Chmiel | Nurse Practitioner | 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 | 2014-04-20 |
| 1467885863 | Wellstar Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 | 2013-08-21 |
| 1306186705 | Jon Barry Stanley | Physician Assistant | 61 Whitcher St Ne, Suite 4120, Marietta, GA 30060-1176 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225674062 | Ann Sabah Oliveira | Nurse Practitioner | 252 Weatherstone Pkwy, Marietta, GA 30068-3486 | 2019-11-26 |
| 1003372293 | Tanisha Leonard | Nurse Practitioner | 2371 Wilderness Way, Marietta, GA 30066-5753 | 2019-02-13 |
| 1235376260 | Hutchison Surgical Assisting Incorporated | Nurse Practitioner | 3090 Rio Montana Dr, Marietta, GA 30066-4048 | 2009-01-13 |
| 1285268904 | Winston Douglas II | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-03-03 |
| 1679106298 | Aimee Bolstein Cornell | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-02-21 |
| 1336785732 | Faith Webster | Nurse Practitioner | 55 Whitcher St Ne Ste 250, Marietta, GA 30060-1169 | 2019-11-20 |
| 1780228361 | Patrick Warren Parkman | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-11-06 |
| 1679123798 | Ashley Dawn Amon | Nurse Practitioner | 677 Church St Ne Ste 100, Marietta, GA 30060-1101 | 2019-09-19 |
| 1407314669 | Allison Renee Heinrich | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2019-03-06 |
| 1356819569 | Nicole Heather Johnson | Nurse Practitioner | 55 Whitcher St Ne Ste 160, Marietta, GA 30060-1160 | 2018-11-06 |
| Find all providers in MARIETTA | ||||
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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.