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Katelin Ashley Bouchard

Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Family Medicine

130 Collins Rd
Bristol , Connecticut 06010-3859

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Katelin Ashley Bouchard

Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Family Medicine

130 Collins Rd
Bristol , Connecticut 06010-3859

(860) 919-5626 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Hospice and Palliative Medicine
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

130 Collins Rd Bristol , Connecticut 06010-3859

First Address

  • Katelin Ashley Bouchard
  • 130 Collins Rd
  • Bristol, CT
  • Zip : 06010-3859
  • Phone : (860) 919-5626

Second Address

  • Katelin Ashley Bouchard
  • 130 Collins Rd
  • Bristol, CT
  • Zip : 06010-3859
  • Phone : (860) 919-5626

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FAQs


Where did Katelin Ashley Bouchard attend graduate school?

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Where did Katelin Ashley Bouchard do her residency?

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Where did Katelin Ashley Bouchard do her fellowship?

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Is Katelin Ashley Bouchard board certified?

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What type of doctor is Katelin Ashley Bouchard

Nurse Practitioner - Family Medicine

In what state does Katelin Ashley Bouchard practice in?

Connecticut

Where is Katelin Ashley Bouchard ’s practice located?

130 Collins Rd , Bristol, Connecticut, 06010-3859

What is Katelin Ashley Bouchard ’s gender?

Female

Is Katelin Ashley Bouchard a sole practitioner?

No

Is Katelin Ashley Bouchard accepting new patients?

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What languages does Katelin Ashley Bouchard speak?

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Does Katelin Ashley Bouchard accept insurance?

Yes, Katelin Ashley Bouchard accepts insurance

Does Katelin Ashley Bouchard offers telemedicine?

Katelin Ashley Bouchard has not indicated if she offers telemedicine

What is Katelin Ashley Bouchard ’s professional license number?

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What is Katelin Ashley Bouchard ’s NPI number?

1013507110

Does Katelin Ashley Bouchard have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207QH0002X Family Doctor - Hospice and Palliative Medicine 9445 CT
Y 363LF0000X Nurse Practitioner - Family Medicine 9445 CT

National Provider Identifier

NPI 1013507110
Provider Name Katelin Ashley Bouchard
First Address Bristol, CT 06010-3859
Second Address Bristol, CT 06010-3859
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 22/01/2021
Last Update Date 26/02/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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