ALISA BOUCHER MS
NPI 1629740113
Nutritionist in Waterford, MI

Q: What is Alisa Boucher's NPI number?

The NPI number for Alisa Boucher is 1629740113. It was assigned to this individual provider in the NPPES registry on October 2, 2021.

Q: What is Alisa Boucher's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Boucher was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 02, 2021

4233 ISLAND PARK DR, WATERFORD, MI 48329(248) 468-6823 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Alisa Boucher Ms NPPES

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

ALISA BOUCHER MS (NPI 1629740113) is an individual nutritionist in Waterford, Michigan and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1629740113

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameALISA BOUCHERCredential: MS

Location Address4233 ISLAND PARK DRWaterford, MI 48329-1916

Mailing Address7111 Dixie Hwy Ste 362Clarkston, MI 48346-2077 · (248) 468-6823

Phone(248) 468-6823

Sole ProprietorYes

Enumeration DateOctober 2, 2021

NPPES CertifiedOctober 2, 2021

✔ NPI 1629740113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

4233 ISLAND PARK DR, Waterford, MI 48329

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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 Alisa Boucher's NPI number?

The NPI number for Alisa Boucher is 1629740113. It was assigned to this individual provider in the NPPES registry on October 2, 2021.

Where is Alisa Boucher located?

Alisa Boucher practices at 4233 Island Park Dr, Waterford, MI 48329. The listed phone number is (248) 468-6823.

What is Alisa Boucher's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Alisa Boucher was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.