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

CIERRA JEAN BOUTELLE
NPI 1164137972
Student in an Organized Health Care Education/Training Program in Oshkosh, WI

Active since January 16, 2023
4391 SODA CREEK RD APT 4, OSHKOSH, WI 54901(608) 290-3418 Get Directions Write a Review

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

About Cierra Jean Boutelle NPPES

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

CIERRA JEAN BOUTELLE (NPI 1164137972) is an individual student in an organized health care education/training program in Oshkosh, Wisconsin and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1164137972
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCIERRA JEAN BOUTELLE
Location Address4391 SODA CREEK RD APT 4Oshkosh, WI 54901-1149
Mailing Address4391 Soda Creek Rd Apt 4Oshkosh, WI 54901-1149 · (608) 290-3418
Phone(608) 290-3418
Sole ProprietorYes
Enumeration DateJanuary 16, 2023
NPPES CertifiedJanuary 16, 2023
✔ NPI 1164137972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4391 SODA CREEK RD APT 4, Oshkosh, WI 54901
Open in Google Maps ↗

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 Cierra Boutelle's NPI number?

The NPI number for Cierra Boutelle is 1164137972. It was assigned to this individual provider in the NPPES registry on January 16, 2023.

Where is Cierra Boutelle located?

Cierra Boutelle practices at 4391 Soda Creek Rd Apt 4, Oshkosh, WI 54901. The listed phone number is (608) 290-3418.

What is Cierra Boutelle'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 Cierra Boutelle was last updated on January 16, 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.