LACEY M BOUCHARD


Address: 4 Market Place Dr # 15, York, ME 03909-1698
Phone: 2073312381

LACEY M BOUCHARD (NPI# 1871809632) 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) 1871809632
Entity Type Individual
Full Name LACEY M BOUCHARD
Credential RDN
Practice Address 4 Market Place Dr # 15
York
ME 03909-1698
Mailing Address 2710 Sanford Rd
Wells
ME 04090-6431
Practice Telephone 2073312381
Mailing Telephone 2073312381
Enumeration Date 2010-08-31
Last Update Date 2017-02-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI1016 ME Dietary & Nutritional Service Providers

Office Location

Street Address 4 MARKET PLACE DR # 15
City YORK
State ME
Zip Code 03909-1698

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588206049 Kristina Nicole Scangas Physician Assistant 3 Loving Kindness Way, York, ME 03909 2019-10-16
1467923540 St. Georges Childcare Center Clinic/Center 407 York Street, York Harbor, ME 03909 2018-12-16
1518398023 Jm Dental PC Dentist 433 F Us Route 1, Suite 107, York, ME 03909 2013-12-09
1043554405 Jennifer Helen Gustafson Occupational Therapist 3 Whittier Way, York, ME 03909 2012-11-24
1720351240 Kimberly Trafton Acupuncturist 272 York Street, York, ME 03909 2012-02-14
1518237767 Jill Ann Colton-spina Registered Nurse 32 York Street, Psychiatry Associates of York Hospital, York, ME 03909 2012-01-05
1497980650 York Family Dental Dentist 433f Us Route 1, Cottage Place Suite 107, York, ME 03909 2009-05-18
1356590947 Susan A. Emerson Occupational Therapist 41 Brixham Rd., York, ME 03909 2008-09-18
1316122252 John Wendelin Anderer Dentist 433 F Us Route 1 Cottage Place John Anderer D.d.s., 107, York, ME 03909 2008-01-09
1720296486 Town of York/york School Department Local Education Agency (LEA) 469 U.S. Route One, York, ME 03909 2007-05-18
Find all providers in zip 03909

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972121986 Brigitte R Brady Dietitian, Registered 466 Pennsylvania Ave, York, PA 17404-2824 2020-07-07
1811527906 Amanda Cario Dietitian, Registered 1040 Wyndsong Dr, York, PA 17403-4492 2020-01-17
1407490634 Amy Ruth Jeffcoat Dietitian, Registered 5774 Campbell Rd, York, SC 29745-9617 2019-10-31
1144675703 Audrey C Hess Dietitian, Registered 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 2016-05-02
1154780856 Kenya Powell Dietitian, Registered 817 E Liberty St, York, SC 29745-1661 2016-02-23
1417346453 Julie Stefanski Dietitian, Registered 1354 Southern Rd, York, PA 17403-3048 2015-01-14
1235742651 Savannah Greiner Dietitian, Registered 200 Pauline Dr, York, PA 17402-4625 2020-08-25
1184264731 Stefanski Nutrition Services Dietitian, Registered 1354 Southern Rd, York, PA 17403-3048 2020-01-12
1528602976 Amanda Tome Dietitian, Registered 292 Saint Charles Way, York, PA 17402-4648 2019-10-29
1386290708 Mikaelie Sara Gonzalez Dietitian, Registered 292 Saint Charles Way, York, PA 17402-4648 2019-08-12
Find all providers in YORK

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City YORK
Zip Code 03909

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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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