MRS. MELISSA A JOHNSON BOUCHER
NPI 1154027761
Technician - Attendant Care Provider in Saint Augustine, FL

Q: What is Melissa Johnson Boucher's NPI number?

The NPI number for Melissa Johnson Boucher is 1154027761. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Q: What is Melissa Johnson Boucher's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

Active since February 06, 2023

1245 ARDMORE ST, SAINT AUGUSTINE, FL 32092(631) 374-9793 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Melissa A Johnson Boucher NPPES

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

MRS. MELISSA A JOHNSON BOUCHER (NPI 1154027761) is an individual attendant care provider provider in Saint Augustine, Florida and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1154027761

Entity TypeIndividualFemale

Primary Taxonomy3747A0650X

Provider Legal NameMRS. MELISSA A JOHNSON BOUCHER

Location Address1245 ARDMORE STSaint Augustine, FL 32092-3441

Mailing Address1245 Ardmore StSaint Augustine, FL 32092-3441 · (631) 374-9793

Phone(631) 374-9793

Sole ProprietorYes

Enumeration DateFebruary 6, 2023

NPPES CertifiedFebruary 5, 2023

✔ NPI 1154027761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers

Taxonomy Code3747A0650X

Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

1245 ARDMORE ST, Saint Augustine, FL 32092

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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 Melissa Johnson Boucher's NPI number?

The NPI number for Melissa Johnson Boucher is 1154027761. It was assigned to this individual provider in the NPPES registry on February 6, 2023.

Where is Melissa Johnson Boucher located?

Melissa Johnson Boucher practices at 1245 Ardmore St, Saint Augustine, FL 32092. The listed phone number is (631) 374-9793.

What is Melissa Johnson Boucher's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Melissa Johnson Boucher was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.