ERIN NICOLE BOUDOIN
NPI 1780466151
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Erin Boudoin's NPI number?

The NPI number for Erin Boudoin is 1780466151. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Q: What is Erin Boudoin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Erin Boudoin was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 19, 2023PECOS Enrolled

1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1544 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2024, Oct 19, 2023 (2 updates tracked since 2023).

On this page

About Erin Nicole Boudoin NPPES

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

ERIN NICOLE BOUDOIN (NPI 1780466151) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780466151

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameERIN NICOLE BOUDOIN

Location Address1350 S KINGS DRCharlotte, NC 28207-2134

Mailing Address1350 S Kings DrCharlotte, NC 28207-2134 · (704) 446-1544

Phone(704) 446-1544

Sole ProprietorNo

Enumeration DateOctober 19, 2023

Last NPPES UpdateApril 4, 20242 updates tracked since enumeration

NPPES CertifiedApril 4, 2024

✔ NPI 1780466151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1350 S KINGS DR, Charlotte, NC 28207

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Nicole Boudoin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KRISTINA JASMIN HARRELL MD

Pediatrics (Pediatric Hematology-Oncology)