BOULOUTE HEALTHCARE SERVICES, LLC
NPI 1104343532
Podiatrist in Woodbridge, VA

Active since August 25, 2017
5049 ANCHORSTONE DR, WOODBRIDGE, VA 22192(678) 517-4214 Get Directions Write a Review

NPPES record last updated: August 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bouloute Healthcare Services, Llc NPPES

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

BOULOUTE HEALTHCARE SERVICES, LLC (NPI 1104343532) is a healthcare organization registered as a podiatrist in Woodbridge, Virginia and active in the NPI registry since August 2017. The organization lists Owmy Bouloute, Owner, as its authorized official.

NPPES Registry Identity

NPI1104343532
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBOULOUTE HEALTHCARE SERVICES, LLC
Location Address5049 ANCHORSTONE DRWoodbridge, VA 22192-8320
Mailing Address8653 16th St Unit 7186Silver Spring, MD 20907-7909 · (678) 517-4214
Organization SubpartNo
Authorized OfficialOwmy BoulouteOwner · (678) 517-4214
Enumeration DateAugust 25, 2017
NPI 1104343532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in VA · 01303301212
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5049 ANCHORSTONE DR, Woodbridge, VA 22192

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Podiatrist
5049 ANCHORSTONE DR
WOODBRIDGE, VA 22192

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 Bouloute Healthcare Services, LLC's NPI number?

The NPI number for Bouloute Healthcare Services, LLC is 1104343532. It was assigned to this organization in the NPPES registry on August 25, 2017.

Where is Bouloute Healthcare Services, LLC located?

Bouloute Healthcare Services, LLC is located at 5049 Anchorstone Dr, Woodbridge, VA 22192. The listed phone number is (678) 517-4214.

What is Bouloute Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Bouloute Healthcare Services, LLC was last updated on August 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.