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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JENNA BOUTILIER
NPI 1013825587
Specialist in Baldwinsville, NY

Active since August 27, 2026
8282 WILLETT PKWY, BALDWINSVILLE, NY 13027(315) 857-0800 Get Directions Write a Review

NPPES record added: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jenna Boutilier NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA BOUTILIER (NPI 1013825587) is an individual specialist in Baldwinsville, New York, licensed in New York (2079090261) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1013825587
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNA BOUTILIER
Location Address8282 WILLETT PKWYBaldwinsville, NY 13027-1306
Mailing Address3224 Far Reach DrBaldwinsville, NY 13027-1511 · (315) 720-3691
Phone(315) 857-0800
Sole ProprietorNo
Enumeration DateAugust 27, 2026
NPPES CertifiedAugust 27, 2026
✔ NPI 1013825587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 2079090261
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
8282 WILLETT PKWY, Baldwinsville, NY 13027
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KASSIDY JOY KRAUS
Occupational Therapist
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
CARRIE WEAVER M.S. SPED
Case Manager/Care Coordinator
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
LLIAS W CHUNG
Student in an Organized Health Care Education/Training Program
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
NATALIE LEE MST
Specialist
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
JILLIAN NICOLE SCIUTO
Speech-Language Pathologist
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
AVERY ROSE MARCY
Specialist
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
ALEA AMYOT
Specialist
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 857-0800
MARY KUBACKI
Case Manager/Care Coordinator
8282 WILLETT PKWY
BALDWINSVILLE, NY 13027
Onondaga County (315) 887-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Boutilier's NPI number?

The NPI number for Jenna Boutilier is 1013825587. It was assigned to this individual provider in the NPPES registry on August 27, 2026.

Where is Jenna Boutilier located?

Jenna Boutilier practices at 8282 Willett Pkwy, Baldwinsville, NY 13027. The listed phone number is (315) 857-0800.

What is Jenna Boutilier's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jenna Boutilier was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.