1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

RENE GODBOUT BOUDREAU MD
NPI 1093691131
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since August 13, 2025

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rene Godbout Boudreau Md NPPES

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

RENE GODBOUT BOUDREAU MD (NPI 1093691131) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (3017867) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1093691131
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRENE GODBOUT BOUDREAUCredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address101 Canal St Apt 405Boston, MA 02114-1819 · (617) 851-5916
Phone(866) 644-8910
Sole ProprietorNo
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1093691131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MA · 3017867
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 FRUIT ST, Boston, MA 02114
Open in Google Maps ↗

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.

STUTI GIRISH SHROFF MD, MBBS
Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2971
NANCY WANG M.D.
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (017) 724-4000
DR. DUSAN HANIDZIAR M.D., PH.D.
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Suffolk County (617) 726-3030
JOHN JOSEPH DANKO DO
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 726-2000
DR. MICHAEL ANDREW LOBRITZ M.D, PH.D.
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Suffolk County (617) 724-9248
MS. KELLY ELISHA TRECARTIN NP
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Suffolk County (617) 726-7400
JAMIE MARIE ALLEN NP
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 724-4410
DR. DHAVAL SANJEEV KOLTE M.B.B.S., PH.D.
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114
Suffolk County (617) 643-3238

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 Rene Boudreau's NPI number?

The NPI number for Rene Boudreau is 1093691131. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Rene Boudreau located?

Rene Boudreau practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (866) 644-8910.

What is Rene Boudreau's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rene Boudreau was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.