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PATRICIA A BOUDET PA
NPI 1841237120
Physician Assistant in Carbondale, IL

Active since June 02, 2006
404 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Mar 6, 2018 (2 updates tracked since 2018).

About Patricia A Boudet Pa NPPES

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

PATRICIA A BOUDET PA (NPI 1841237120) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-000668) and active in the NPI registry since June 2006. She maintains a secondary practice location in Carbondale.

NPPES Registry Identity

NPI1841237120
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePATRICIA A BOUDETCredential: PA
Location Address404 S LEWIS LNCarbondale, IL 62901-3547
Mailing AddressPo Box 577, 109 California StreetCarterville, IL 62918-0577 · (618) 985-8221 · Fax (618) 985-4635
Phone(618) 519-9200
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1841237120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-000668
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
404 S LEWIS LN, Carbondale, IL 62901
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Secondary Practice Location 1

Location 1400 S Lewis LnCarbondale, IL 62901-3547 · Phone (618) 519-9900 · Fax (618) 529-1384

Other Identifiers 2

Other085-000668IL · State Pa Medical License
Medicaid370966854024IL

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERALD R CAMERON PA-C
Physician Assistant
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
SAMANTHA HERRIN PA-C
Physician Assistant
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 319-4076
JESSICA N BAINE APRN
Nurse Practitioner (Family)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
LINDA DODD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
BARBARA GEAN GREAR MSW
Counselor (Mental Health)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
GERALD S MARTIN NP
Nurse Practitioner (Family)
404 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200

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 Patricia Boudet's NPI number?

The NPI number for Patricia Boudet is 1841237120. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Patricia Boudet located?

Patricia Boudet practices at 404 S Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Patricia Boudet's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Patricia Boudet was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.