SARAH MARIE BOURQUE (NPI# 1992126833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992126833 |
| Entity Type | Individual |
| Full Name | SARAH MARIE BOURQUE |
| Credential | MS, RD, CD-N |
| Practice Address |
11 Quaker Ln N Apt 303 West Hartford CT 06119-1340 |
| Practice Telephone | 5182075835 |
| Mailing Telephone | 5182075835 |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1020 | CT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578119277 | Sarah Bourque | Behavior Technician | 1225 E Big Beaver Rd, Troy, MI 48083-1905 | 2019-08-18 |
| 1215484209 | Sarah Bourque | Physical Therapist | 835 Hanover St, Suite 102, Manchester, NH 03104-5401 | 2016-09-07 |
| Street Address |
11 QUAKER LN N APT 303 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| 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 |
|---|---|---|---|---|
| 1437750882 | Lauren M Bush | Dietitian, Registered | 45 S Main St Ste 202, West Hartford, CT 06107-2402 | 2020-11-03 |
| 1326546219 | Shoreh Rassekh | Dietitian, Registered | 53 W Ridge Dr, West Hartford, CT 06117-2047 | 2018-01-25 |
| 1982062022 | Jamie Allison Farrell | Dietitian, Registered | 224 S Quaker Ln, West Hartford, CT 06119-1944 | 2016-02-03 |
| 1629490594 | Kristen Quann | Dietitian, Registered | 123 Dover Rd, West Hartford, CT 06119-1215 | 2014-01-13 |
| 1003240409 | Veronika Marczyk | Dietitian, Registered | 356 Park Rd, West Hartford, CT 06119-1919 | 2013-08-21 |
| 1730790239 | Renae France | Dietitian, Registered | 125 Lasalle Rd Ste 208, West Hartford, CT 06107-2311 | 2020-08-10 |
| 1144863705 | Elizabeth Helena Mcarthur | Dietitian, Registered | 101 South St, West Hartford, CT 06110-1967 | 2019-10-25 |
| 1699236117 | Healthycare Connecticut, LLC | Dietitian, Registered | 340 N Main St, West Hartford, CT 06117-2675 | 2019-03-27 |
| 1386101160 | Laura Chartrand | Dietitian, Registered | 340 N Main St, West Hartford, CT 06117-2675 | 2019-02-27 |
| 1962969873 | Jennifer Braun | Dietitian, Registered | 340 N Main St, West Hartford, CT 06117-2675 | 2019-02-27 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
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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.