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JORDAN LYNN BOUCHER RD
NPI 1215310669
Dietitian, Registered in Brockton, MA

Active since July 02, 2015
110 LIBERTY ST STE 2A, BROCKTON, MA 02301(508) 894-0766(508) 565-0097 Get Directions Write a Review

NPPES record last updated: May 4, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 4, 2020, Mar 9, 2020 (2 updates tracked since 2020).

About Jordan Lynn Boucher Rd NPPES

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

JORDAN LYNN BOUCHER RD (NPI 1215310669) is an individual dietitian, registered in Brockton, Massachusetts, licensed in Washington (DI 60543717) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1215310669
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJORDAN LYNN BOUCHERCredential: RD
Location Address110 LIBERTY ST STE 2ABrockton, MA 02301-5674
Mailing Address110 Liberty StBrockton, MA 02301-5674 · (508) 894-0400 · Fax (508) 894-0628
Phone(508) 894-0766
Fax(508) 565-0097
Sole ProprietorNo
Enumeration DateJuly 2, 2015
Last NPPES UpdateMay 4, 20202 updates tracked since enumeration
NPPES CertifiedMay 4, 2020
✔ NPI 1215310669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI 60543717
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
110 LIBERTY ST STE 2A, Brockton, MA 02301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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 Jordan Boucher's NPI number?

The NPI number for Jordan Boucher is 1215310669. It was assigned to this individual provider in the NPPES registry on July 2, 2015.

Where is Jordan Boucher located?

Jordan Boucher practices at 110 Liberty St Ste 2A, Brockton, MA 02301. The listed phone number is (508) 894-0766.

What is Jordan Boucher's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

What insurance does Jordan Boucher accept?

Health plans from Blue Cross and Blue Shield of Texas list Jordan Boucher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jordan Boucher was last updated on May 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.