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STACEY MARIE BOUCHER FNP
NPI 1659854230
Nurse Practitioner - Family in Columbus, OH

Active since September 11, 2018
4200 REGENT ST STE 200, COLUMBUS, OH 43219(877) 870-1775(614) 968-8840 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2022, Apr 8, 2021, Sep 11, 2018 (3 updates tracked since 2018).

About Stacey Marie Boucher Fnp NPPES

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

STACEY MARIE BOUCHER FNP (NPI 1659854230) is an individual family provider in Columbus, Ohio, licensed in California (95009319) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1659854230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY MARIE BOUCHERCredential: FNP
Location Address4200 REGENT ST STE 200Columbus, OH 43219-6229
Mailing Address4200 Regent St Ste 200Columbus, OH 43219-6229 · (877) 870-1775 · Fax (614) 968-8840
Phone(877) 870-1775
Fax(614) 968-8840
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
Last NPPES UpdateSeptember 25, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1659854230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95009319
4200 REGENT ST STE 200, Columbus, OH 43219
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JENNIFER NICKENS FNP-C
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (248) 780-0050
DANNI LYNNETTE HENDERSON AGNP-C
Nurse Practitioner (Adult Health)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 870-1775
DARIO PETKOVIC PT
Physical Therapist
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (866) 839-6979
CONNIE THACH DNP, FNP-BC
Nurse Practitioner
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 581-2210
KATELYN ELAINE DYE APRN
Nurse Practitioner (Primary Care)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (843) 709-0739
VALERIE CLARK FNP
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 581-2210
JENNIFER M. KUCK
Dietitian, Registered
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (614) 944-5123
LATASHA ROSHELLE EVANS FNP
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 870-1775

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 Stacey Boucher's NPI number?

The NPI number for Stacey Boucher is 1659854230. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Stacey Boucher located?

Stacey Boucher practices at 4200 Regent St Ste 200, Columbus, OH 43219. The listed phone number is (877) 870-1775.

What is Stacey Boucher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stacey Boucher was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.