MS. SOPHIA BOURDEAU LPN
NPI 1689104192
Clinic/Center - Developmental Disabilities in Port St Lucie, FL

Q: What is Sophia Bourdeau's NPI number?

The NPI number for Sophia Bourdeau is 1689104192. It was assigned to this individual provider in the NPPES registry on June 16, 2017.

Q: What is Sophia Bourdeau's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Bourdeau was last updated on July 21, 2022. 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 June 16, 2017

159 SW SOUTH DANVILLE CIR, PORT ST LUCIE, FL 34953(754) 234-3487 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jun 16, 2017 (2 updates tracked since 2017).

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About Ms. Sophia Bourdeau Lpn NPPES

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

MS. SOPHIA BOURDEAU LPN (NPI 1689104192) is an individual developmental disabilities provider in Port St Lucie, Florida and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1689104192

Entity TypeIndividualFemale

Primary Taxonomy261QD1600X

Provider Legal NameMS. SOPHIA BOURDEAUCredential: LPN

Location Address159 SW SOUTH DANVILLE CIRPort St Lucie, FL 34953-5929

Mailing Address159 Sw South Danville CirPort St Lucie, FL 34953-5929 · (754) 234-3487

Phone(754) 234-3487

Sole ProprietorYes

Enumeration DateJune 16, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1689104192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

Definition

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

159 SW SOUTH DANVILLE CIR, Port St Lucie, FL 34953

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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 Sophia Bourdeau's NPI number?

The NPI number for Sophia Bourdeau is 1689104192. It was assigned to this individual provider in the NPPES registry on June 16, 2017.

Where is Sophia Bourdeau located?

Sophia Bourdeau practices at 159 SW South Danville Cir, Port St Lucie, FL 34953. The listed phone number is (754) 234-3487.

What is Sophia Bourdeau's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Sophia Bourdeau was last updated on July 21, 2022. 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.