Active NPIIndividual provider

Deana S Boucher, RD

Dietitian, Registered in Middlebury, Connecticut

NPI Number1639335623
Practice location
590 Middlebury RD, Middlebury, CT 06762-2562
Fax
203-758-1551
Last updated
July 30, 2008

Deana S Boucher is a Dietitian, Registered based in Middlebury, CT. Deana S Boucher practices in Middlebury, CT and has the professional credentials of RD. The NPI Number for Deana S Boucher is 1639335623 and holds a License No. 000847 (CT). The current practice location address for Deana S Boucher is 590 Middlebury RD, Middlebury, CT 06762-2562 and can be reached out via phone at 203-758-1004 and via fax at 203-758-1551.

Provider Profile Details

NPI Number
1639335623
Provider Name
Deana S Boucher
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
590 Middlebury RD, Middlebury, CT 06762-2562
Phone Number
203-758-1004
Fax Number
203-758-1551
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Other Names
-- Deana S Boucher (Former Name)
Provider Enumeration Date
July 30, 2008
Last Update Date
July 30, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
590 Middlebury RD
Middlebury, CT 06762-2562
Zip
06762-2562
Phone Number
203-758-1004
Fax Number
203-758-1551
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
1625 Straits Tpke
Middlebury, CT 06762-1836
City
Middlebury
State
CT
Zip
06762-1836
Phone Number
203-572-9512

License Information

License Number
000847
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.

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Frequently Asked Questions

What is the NPI number of Deana S Boucher, RD?

The NPI number of Deana S Boucher, RD is 1639335623. It was assigned on July 30, 2008 and is currently active in the NPPES registry.

What is the specialty of Deana S Boucher, RD?

Deana S Boucher, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in CT under license number 000847.

Where does Deana S Boucher, RD practice?

The practice location is 590 Middlebury RD, Middlebury, CT 06762-2562. The office can be reached at 203-758-1004 (phone) or 203-758-1551 (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 1639335623 directly on the NPPES registry website.

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