Active NPIIndividual provider

Pamela Boushie

Dietitian, Registered in Southington, Connecticut

NPI Number1205693173
Practice location
1131 West St Ste 2, Southington, CT 06489-6006
Fax
—
Last updated
March 6, 2024

Pamela Boushie is a Dietitian, Registered based in Southington, CT. Pamela Boushie practices in Southington, CT. The NPI Number for Pamela Boushie is 1205693173 and holds a License No. 000743 (CT). The current practice location address for Pamela Boushie is 1131 West St Ste 2, Southington, CT 06489-6006 and can be reached out via phone at 860-517-8888.

Provider Profile Details

NPI Number
1205693173
Provider Name
Pamela Boushie
Provider Entity Type
Individual
Gender
Female
Address
1131 West St Ste 2, Southington, CT 06489-6006
Phone Number
860-517-8888
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
March 6, 2024
Last Update Date
March 6, 2024
Certification Date
March 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1131 West St Ste 2
Southington, CT 06489-6006
Zip
06489-6006
Phone Number
860-517-8888
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
125 Lasalle RD Ste 208
West Hartford, CT 06107-2311
City
West Hartford
State
CT
Zip
06107-2311
Phone Number
860-906-1289

License Information

License Number
000743
License State
CT
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near Southington, CT

View all Dietitian, Registered providers in Southington →

Frequently Asked Questions

What is the NPI number of Pamela Boushie?

The NPI number of Pamela Boushie is 1205693173. It was assigned on March 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Pamela Boushie?

Pamela Boushie is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000743.

Where does Pamela Boushie practice?

The practice location is 1131 West St Ste 2, Southington, CT 06489-6006. The office can be reached at 860-517-8888 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205693173 directly on the NPPES registry website.

Browse related providers