NICOLE RENAE BOUCHER SLP
NPI 1053530345
Speech-Language Pathologist in Fargo, ND

Q: What is Nicole Boucher's NPI number?

The NPI number for Nicole Boucher is 1053530345. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Nicole Boucher's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Boucher was last updated on January 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2007

1702 UNIVERSITY DR S, FARGO, ND 58103(701) 364-3300(701) 364-8906 Get Directions Write a Review

NPPES record last updated: January 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Renae Boucher Slp NPPES

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

NICOLE RENAE BOUCHER SLP (NPI 1053530345) is an individual speech-language pathologist provider in Fargo, North Dakota, licensed in North Dakota (771) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1053530345

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameNICOLE RENAE BOUCHERCredential: SLP

Location Address1702 UNIVERSITY DR SFargo, ND 58103-4940

Mailing AddressPo Box 6001Fargo, ND 58108-6001 · (701) 364-3300 · Fax (701) 364-8906

Phone(701) 364-3300

Fax(701) 364-8906

Sole ProprietorNo

Enumeration DateApril 25, 2007

Last NPPES UpdateJanuary 27, 2014

✔ NPI 1053530345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in ND · 771

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

1702 UNIVERSITY DR S, Fargo, ND 58103

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Other Identifiers 1

Medicare PINN719420ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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.

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