DIANA BOUTTE


Address: 7489 Right Flank Rd, Mechanicsville, VA 23116-3845
Phone: 8043988401

DIANA BOUTTE (NPI# 1538645015) 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) 1538645015
Entity Type Individual
Full Name DIANA BOUTTE
Credential MSN, RN, PMHNP-BC
Practice Address 7489 Right Flank Rd
Mechanicsville
VA 23116-3845
Mailing Address 3137 Welsh Cir
Richmond
VA 23223-2180
Practice Telephone 8043988401
Mailing Telephone 8047123547
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024176352 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7489 RIGHT FLANK RD
City MECHANICSVILLE
State VA
Zip Code 23116-3845

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417165143 Steven Deschner Physical Medicine & Rehabilitation 7489 Right Flank Rd, Suite 300, Mechanicsville, VA 23116-3845 2007-05-18
1114371572 Valerie Mcdonnell Social Worker 7489 Right Flank Rd, Ste 330, Mechanicsville, VA 23116-3845 2016-04-21
1023489580 Covenant Healthcare Pllc Physical Medicine & Rehabilitation 7489 Right Flank Rd, Ste 300, Mechanicsville, VA 23116-3845 2015-10-09
1588076111 Sheri Ann Phuong Social Worker 7489 Right Flank Rd, 330, Mechanicsville, VA 23116-3845 2014-06-02
1396970281 Allergy & Asthma Specialists of Virginia PC Allergy & Immunology 7489 Right Flank Rd, Suite 300, Mechanicsville, VA 23116-3845 2009-05-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871131664 Orthovirginia, Inc Physician Assistant 9369 Atlee Road Unit 3107, Mechanicsville, VA 23116 2019-12-12
1558915702 Rachelle Lamaris Smith Counselor 7611 Magazine Drive, Mechanicsville, VA 23116 2019-07-26
1467004952 Katherine Romero-davis Speech-Language Pathologist Sheltering Arms Rehabilitation Hospital, 8254 Atlee Road, Mechanicsville, VA 23116 2019-07-15
1275092850 Melissa Harp Harden Occupational Therapist 9366 Count Kristopher Dr, Mechanicsville, VA 23116 2019-03-13
1467969105 Lynsey Marie Preisner Physician Assistant 8262 Atlee Road Suite 202, Mechanicsville, VA 23116 2018-01-03
1912437526 Kim S Hammonds Nurse Practitioner 8102 Braxton Court, Mechanicsville, VA 23116 2017-06-15
1023547528 Gina Elysia Wurfel Social Worker 9126 Ashlar Pl, Mechanicsville, VA 23116 2017-06-08
1063945624 Lisa Gervasoni Occupational Therapist 8254 Attlee Road, Mechanicsville, VA 23116 2017-04-10
1679006308 Kerri Eggleston Physical Therapist 8226 Meadowbridge Road, Mechanicsville, VA 23116 2017-04-10
1659823466 Mechanicsville Chemist LLC Pharmacy 8324 Bell Creek Road, Suite Number 800, Mechanicsville, VA 23116 2016-10-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114539780 Lite and Free, Inc. Nurse Practitioner 9157 Atlee Rd Ste A, Mechanicsville, VA 23116-2504 2020-08-17
1831637990 Olivia Reichenbacker Nurse Practitioner 7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 2017-02-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578160875 Tricia Daigle Northington Nurse Practitioner 20213 Eagle Cove Ct, South Chesterfield, VA 23803-1097 2020-10-08
1114524543 Alliance Mental Health LLC Nurse Practitioner 7400 Beaufont Springs Drive Pmb#2867, Suite 300, Richmond, VA 23225 2020-10-08
1699372060 Shari Chism Medley Nurse Practitioner 1088 Bagwell Dr, Scottsburg, VA 24589-2709 2020-10-07
1225635683 Kevina Boone Nurse Practitioner 5360 Discovery Park Blvd Ste 201, Williamsburg, VA 23188-2860 2020-10-07
1548876618 Jamie Kim Nurse Practitioner 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709 2020-09-23
1134734957 Ai H Garner Nurse Practitioner 7400 Beaufont Springs Drive Pmb# 2867, Suite 300, Richmond, VA 23225 2020-09-09
1679185573 Shaping Your Future Psychiatry Nurse Practitioner 1534 Bateau Lndg, Chesapeake, VA 23321-6603 2020-08-20
1235749714 Germaine Kelley-pope Nurse Practitioner 622 Westover Hills Blvd, Richmond, VA 23225-4521 2020-08-09
1164031779 Georgina Rose Chidaushe Nurse Practitioner 46760 Vermont Maple Ter, Sterling, VA 20164-2234 2020-07-29
1689292575 Harpreet Kang Nurse Practitioner 2925 Calcutt Dr, Midlothian, VA 23113-2682 2020-07-08
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Competitor

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City MECHANICSVILLE
Zip Code 23116

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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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