Active NPIIndividual provider

Mrs. Jessica Bouchard, RD

Dietitian, Registered in Denver, Colorado

NPI Number1376932285
Practice location
2855 N Speer Blvd Ste B, Denver, CO 80211-4240
Fax
855-710-2814
Last updated
April 11, 2019

Jessica Bouchard is a Dietitian, Registered based in Denver, CO. Jessica Bouchard practices in Denver, CO and has the professional credentials of RD. The NPI Number for Jessica Bouchard is 1376932285 and holds a License No. DI1234 (ME). The current practice location address for Jessica Bouchard is 2855 N Speer Blvd Ste B, Denver, CO 80211-4240 and can be reached out via phone at 720-295-4515 and via fax at 855-710-2814.

Provider Profile Details

NPI Number
1376932285
Provider Name
Jessica Bouchard
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2855 N Speer Blvd Ste B, Denver, CO 80211-4240
Phone Number
720-295-4515
Fax Number
855-710-2814
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 15, 2015
Last Update Date
April 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
2855 N Speer Blvd Ste B
Denver, CO 80211-4240
City
Denver
Zip
80211-4240
Phone Number
720-295-4515
Fax Number
855-710-2814
Denver, CO 80211Get directions →

Provider Business Mailing Address Details

Address
3485 S Gaylord CT Apt C505
Englewood, CO 80113-3195
City
Englewood
State
CO
Zip
80113-3195
Phone Number
207-991-2086

License Information

License Number (1)
DI1234
License State (1)
ME
Taxonomy (1)
Dietitian, Registered · 133V00000X
Taxonomy (2)
Dietitian, Registered · 133V00000X · 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 Mrs. Jessica Bouchard, RD?

The NPI number of Mrs. Jessica Bouchard, RD is 1376932285. It was assigned on January 15, 2015 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jessica Bouchard, RD?

Mrs. Jessica Bouchard, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI1234.

Where does Mrs. Jessica Bouchard, RD practice?

The practice location is 2855 N Speer Blvd Ste B, Denver, CO 80211-4240. The office can be reached at 720-295-4515 (phone) or 855-710-2814 (fax).

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 1376932285 directly on the NPPES registry website.

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