KEISHA MARIE HENRY BOUDREAU NP
NPI 1689471500
Nurse Practitioner - Acute Care in Tacoma, WA

Active since February 27, 2025
9040 JACKSON AVE, TACOMA, WA 98431(253) 477-9781 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keisha Marie Henry Boudreau Np NPPES

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

KEISHA MARIE HENRY BOUDREAU NP (NPI 1689471500) is an individual acute care provider in Tacoma, Washington, licensed in Texas (1190654) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1689471500
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKEISHA MARIE HENRY BOUDREAUCredential: NP
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001
Sole ProprietorNo
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1689471500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TX · 1190654
9040 JACKSON AVE, Tacoma, WA 98431

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.

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Keisha Boudreau's NPI number?

The NPI number for Keisha Boudreau is 1689471500. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Keisha Boudreau located?

Keisha Boudreau practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 477-9781.

What is Keisha Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Keisha Boudreau was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.