Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANISSA BOUDREAU DC
NPI 1346765450
Chiropractor in Chepachet, RI

Q: What is Anissa Boudreau's NPI number?

The NPI number for Anissa Boudreau is 1346765450. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Q: What is Anissa Boudreau's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Anissa Boudreau was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since August 09, 2017

712 PUTNAM PIKE UNIT 4, CHEPACHET, RI 02814(401) 568-2200 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 3, 2026, Dec 4, 2025, Apr 28, 2021 and 3 more (6 updates tracked since 2017).

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About Anissa Boudreau Dc NPPES

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

ANISSA BOUDREAU DC (NPI 1346765450) is an individual chiropractor in Chepachet, Rhode Island, licensed in Rhode Island (DCP00654) and active in the NPI registry since August 2017. She is a graduate of Sherman College Of Straight Chiropractic (2017).

NPPES Registry Identity

NPI1346765450

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameANISSA BOUDREAUCredential: DC

Location Address712 PUTNAM PIKE UNIT 4Chepachet, RI 02814-1404

Mailing Address712 Putnam Pike Unit 4Chepachet, RI 02814-1404 · (401) 285-2320

Phone(401) 568-2200

Sole ProprietorNo

Medical School CMSSherman College Of Straight ChiropracticGraduated 2017

Enumeration DateAugust 9, 2017

Last NPPES UpdateOctober 3, 20266 updates tracked since enumeration

NPPES CertifiedOctober 3, 2026

✔ NPI 1346765450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in RI · DCP00654✔ Licensed in NC · 04813

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

712 PUTNAM PIKE UNIT 4, Chepachet, RI 02814

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anissa Boudreau Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527333947

PECOS Enrollment IDI20181129000821, I20260113001392

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

162 services23 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERGREEN FAMILY CHIROPRACTIC, LLC

Chiropractor

712 PUTNAM PIKE UNIT 4
CHEPACHET, RI 02814

Providence County (401) 568-2200

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 Anissa Boudreau's NPI number?

The NPI number for Anissa Boudreau is 1346765450. It was assigned to this individual provider in the NPPES registry on August 9, 2017.

Where is Anissa Boudreau located?

Anissa Boudreau practices at 712 Putnam Pike Unit 4, Chepachet, RI 02814. The listed phone number is (401) 568-2200.

What is Anissa Boudreau's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Anissa Boudreau enrolled in Medicare?

Yes. Anissa Boudreau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anissa Boudreau was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.