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

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: July 19, 2026.

  • Individual
  • Female
  • Technician
  • Attendant Care Provider

About MELISSA JOHNSON BOUCHER

This page provides the complete NPI Profile along with additional information for Melissa Johnson Boucher, a provider established in Saint Augustine, Florida with a medical specialization in Technician, focusing in attendant care provider . The healthcare provider is registered in the NPI registry with number 1154027761 assigned on February 2023. The practitioner's primary taxonomy code is 3747A0650X. The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1154027761 Verify this NPI
Provider Name
MRS. MELISSA A JOHNSON BOUCHER
Gender
Female
Entity Type
Individual
Location Address
1245 ARDMORE ST SAINT AUGUSTINE, FL 32092
Location Phone
(631) 374-9793
Mailing Address
1245 ARDMORE ST SAINT AUGUSTINE, FL 32092
Mailing Phone
(631) 374-9793
Is Sole Proprietor?
Yes
Enumeration Date
02-06-2023
Last Update Date
02-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician Attendant Care Provider

Taxonomy Code
3747A0650X
Type
Nursing Service Related Providers
License State
FL
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154027761, enumerated as an "individual" on February 06, 2023.

The provider is located at 1245 ARDMORE ST SAINT AUGUSTINE, FL 32092 and the phone number is (631) 374-9793.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.