JESSICA ANN BOUTWELL
NPI 1154756153
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since September 09, 2013
548 PARK AVE, SUITE B, WORCESTER, MA 01603(774) 823-1500 Get Directions Write a Review

NPPES record last updated: September 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Ann Boutwell NPPES

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

JESSICA ANN BOUTWELL (NPI 1154756153) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1154756153
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ANN BOUTWELL
Location Address548 PARK AVE, SUITE BWorcester, MA 01603-2537
Mailing Address548 Park Ave, Suite BWorcester, MA 01603-2537
Sole ProprietorNo
Enumeration DateSeptember 9, 2013
NPI 1154756153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
548 PARK AVE, Worcester, MA 01603

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.

Registered Nurse
548 PARK AVE, SUITE B
WORCESTER, MA 01603
Speech-Language Pathologist
548 PARK AVE, SUIT B
WORCESTER, MA 01603
Counselor
548 PARK AVE, SUITE B
WORCESTER, MA 01603
Registered Nurse (Pediatrics)
548 PARK AVE, SUITE B
WORCESTER, MA 01603
Student in an Organized Health Care Education/Training Program
548 PARK AVE
WORCESTER, MA 01603
Student in an Organized Health Care Education/Training Program
548 PARK AVE, B
WORCESTER, MA 01603
Registered Nurse
548 PARK AVE, SUITE B
WORCESTER, MA 01603
Student in an Organized Health Care Education/Training Program
548 PARK AVE
WORCESTER, MA 01603

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 Jessica Boutwell's NPI number?

The NPI number for Jessica Boutwell is 1154756153. It was assigned to this individual provider in the NPPES registry on September 9, 2013.

Where is Jessica Boutwell located?

Jessica Boutwell practices at 548 Park Ave Suite B, Worcester, MA 01603. The listed phone number is (774) 823-1500.

What is Jessica Boutwell'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 Jessica Boutwell was last updated on September 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.