Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NOELLE PAIGE BOUDREAU PA
NPI 1316832306
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since June 10, 2025
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2026, Jun 10, 2025 (2 updates tracked since 2025).

  • Individual
  • Female
  • Student in an Organized Health Care Educ...

About NOELLE BOUDREAU

This page provides the complete NPI Profile along with additional information for Noelle Boudreau, a primary care provider established in Charleston, South Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1316832306 assigned on June 2025. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated July 2026.

NPI
1316832306 Verify this NPI
Provider Name
NOELLE PAIGE BOUDREAU PA
Gender
Female
Entity Type
Individual
Location Address
171 ASHLEY AVE CHARLESTON, SC 29425
Location Phone
(843) 792-1414
Mailing Address
PO BOX 751461 CHARLOTTE, NC 28275
Is Sole Proprietor?
No
Enumeration Date
06-10-2025
Last Update Date
07-07-2026
Code Navigator

A primary care provider (PCP) like Noelle Boudreau sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
171 ASHLEY AVE
CHARLESTON, SC 29425
Emergency Medicine
171 ASHLEY AVE, EMERGENCY MEDICINE
CHARLESTON, SC 29425
Radiology (Diagnostic Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Otolaryngology
171 ASHLEY AVE
CHARLESTON, SC 29425
Neurological Surgery
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Neuroradiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine
171 ASHLEY AVE
CHARLESTON, SC 29425
Thoracic Surgery (Cardiothoracic Vascular Surgery)
171 ASHLEY AVE
CHARLESTON, SC 29425
Pediatrics (Neonatal-Perinatal Medicine)
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker (Clinical)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pediatrics (Pediatric Gastroenterology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Obstetrics & Gynecology
171 ASHLEY AVE
CHARLESTON, SC 29425
Specialist/Technologist (Athletic Trainer)
171 ASHLEY AVE, MSC 622
CHARLESTON, SC 29425
Surgery (Surgical Critical Care)
171 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine (Nephrology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
171 ASHLEY AVE
CHARLESTON, SC 29425
Internal Medicine (Hematology & Oncology)
171 ASHLEY AVE, MSC 861
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316832306, enumerated as an "individual" on June 10, 2025.

The provider is located at 171 ASHLEY AVE CHARLESTON, SC 29425 and the phone number is (843) 792-1414.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.