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JODI BROOKS MARIA BOUTTE MS
NPI 1770108383
Technician - Attendant Care Provider in Fate, TX

Active since June 09, 2020
554 JAMESTOWN LN, FATE, TX 75189(337) 577-6298 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jodi Brooks Maria Boutte Ms NPPES

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

JODI BROOKS MARIA BOUTTE MS (NPI 1770108383) is an individual attendant care provider provider in Fate, Texas and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1770108383
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameJODI BROOKS MARIA BOUTTECredential: MS
Location Address554 JAMESTOWN LNFate, TX 75189-5116
Mailing Address554 Jamestown LnFate, TX 75189-5116 · (337) 577-6298
Phone(337) 577-6298
Sole ProprietorNo
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
✔ NPI 1770108383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
554 JAMESTOWN LN, Fate, TX 75189
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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 Jodi Brooks Boutte's NPI number?

The NPI number for Jodi Brooks Boutte is 1770108383. It was assigned to this individual provider in the NPPES registry on June 9, 2020.

Where is Jodi Brooks Boutte located?

Jodi Brooks Boutte practices at 554 Jamestown Ln, Fate, TX 75189. The listed phone number is (337) 577-6298.

What is Jodi Brooks Boutte's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Jodi Brooks Boutte was last updated on June 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.