Active NPIIndividual provider

Anissa Boudreau, DC

Chiropractor in Chepachet, Rhode Island

NPI Number1346765450
Practice location
712 Putnam Pike Unit 4, Chepachet, RI 02814-1404
Fax
—
Last updated
October 3, 2026

Anissa Boudreau is a Chiropractor based in Chepachet, RI. Anissa Boudreau practices in Chepachet, RI and has the professional credentials of DC. The NPI Number for Anissa Boudreau is 1346765450 and holds a License No. 04813 (NC). The current practice location address for Anissa Boudreau is 712 Putnam Pike Unit 4, Chepachet, RI 02814-1404 and can be reached out via phone at 401-568-2200.

Provider Profile Details

NPI Number
1346765450
Provider Name
Anissa Boudreau
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
712 Putnam Pike Unit 4, Chepachet, RI 02814-1404
Phone Number
401-568-2200
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2017
Last Update Date
October 3, 2026
Certification Date
October 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
712 Putnam Pike Unit 4
Chepachet, RI 02814-1404
Zip
02814-1404
Phone Number
401-568-2200
Chepachet, RI 02814Get directions →

Provider Business Mailing Address Details

Address
712 Putnam Pike Unit 4
Chepachet, RI 02814-1404
City
Chepachet
State
RI
Zip
02814-1404
Phone Number
401-285-2320

License Information

License Number (1)
04813
License State (1)
NC
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
DCP00654
License State (2)
RI
Taxonomy (2)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Anissa Boudreau, DC?

The NPI number of Anissa Boudreau, DC is 1346765450. It was assigned on August 9, 2017 and is currently active in the NPPES registry.

What is the specialty of Anissa Boudreau, DC?

Anissa Boudreau, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NC under license number 04813.

Where does Anissa Boudreau, DC practice?

The practice location is 712 Putnam Pike Unit 4, Chepachet, RI 02814-1404. The office can be reached at 401-568-2200 (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 1346765450 directly on the NPPES registry website.

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