ANGIE BOLDUC
NPI 1700264090
Licensed Practical Nurse in Putnam, CT

NPI Status: Active since May 07, 2015

Contact Information

391 POMFRET ST
PUTNAM, CT
ZIP 06260
Phone: (860) 963-4971
Fax: (860) 963-4979

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  • Individual
  • Female
  • Licensed Practical Nurse

About ANGIE BOLDUC

This page provides the complete NPI Profile along with additional information for Angie Bolduc, a provider established in Putnam, Connecticut with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1700264090 assigned on May 2015. The practitioner's primary taxonomy code is 164W00000X with license number 038592 (CT). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1700264090
Provider Name
ANGIE BOLDUC
Other Name
ANGIE VERRANEAULT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
391 POMFRET ST PUTNAM, CT 06260
Location Phone
(860) 963-4971
Location Fax
(860) 963-4979
Mailing Address
2 WATERSIDE XING STE 401 WINDSOR, CT 06095
Mailing Phone
(860) 731-5522
Mailing Fax
(860) 963-4979
Is Sole Proprietor?
No
Enumeration Date
05-07-2015
Last Update Date
10-15-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
038592
License State
CT
Taxonomy Description
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700264090
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700468018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 4 + 6 + 8 + 0 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1700264090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

SUSAN SOLIS-CASTANEDA

Counselor

(Addiction (Substance Use Disorder))

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

LARRY BEVERLY II

Counselor

(Mental Health)

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-6763

KAYLA ASHLEY GOULETTE

Counselor

(Mental Health)

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

MONALISA BENTLEY

Counselor

(Mental Health)

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-6763

DEBORAH HOWE

Registered Nurse

(Addiction (Substance Use Disorder))

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

MARY-ANN JODAITIS

Registered Nurse

(Addiction (Substance Use Disorder))

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

DONNA BIMONTE LPN

Licensed Practical Nurse

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

ABBY ARICO

Counselor

(Mental Health)

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-6763

LINDA LEWANDOWSKI

Counselor

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

SIOBHAN FELICIANO

Counselor

(Professional)

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(836) 096-3497

MARY MCGINN

Counselor

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

SHERRY MACFARLAND

Clinical Nurse Specialist

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

MEGHAN YOUMELL

Counselor

(Addiction (Substance Use Disorder))

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

JUSTINE POUDRETTE

Student in an Organized Health Care Education/Training Program

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

KRISTINA TORRENTE

Licensed Practical Nurse

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

ALEXANDER MARQUIS

Student in an Organized Health Care Education/Training Program

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

HOLLY SANTIAGO

Registered Nurse

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

TANANIKA VANRIEL

Licensed Practical Nurse

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

TESSA HIDALGO

Licensed Practical Nurse

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

STEPHANIE LAZARUS

Student in an Organized Health Care Education/Training Program

391 POMFRET ST
PUTNAM, CT
ZIP 06260

(860) 963-4971

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700264090, enumerated as an "individual" on May 07, 2015.

The provider is located at 391 POMFRET ST PUTNAM, CT 06260 and the phone number is (860) 963-4971.

Licensed Practical Nurse with taxonomy code 164W00000X.