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MISS KRISTEN BOURQUE RD, LD, CLC
NPI 1881083699
Dietitian, Registered in Indianapolis, IN

Active since January 16, 2015
9115 HAGUE RD, INDIANAPOLIS, IN 46256(317) 521-2000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kristen Bourque Rd, Ld, Clc NPPES

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

MISS KRISTEN BOURQUE RD, LD, CLC (NPI 1881083699) is an individual dietitian, registered in Indianapolis, Indiana, licensed in Illinois (164.007743) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1881083699
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMISS KRISTEN BOURQUECredential: RD, LD, CLC
Location Address9115 HAGUE RDIndianapolis, IN 46256-1025
Mailing Address7408 W Palatine AveChicago, IL 60631-1920 · (702) 250-7901
Phone(317) 521-2000
Sole ProprietorNo
Enumeration DateJanuary 16, 2015
Last NPPES UpdateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1881083699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in IL · 164.007743✔ Licensed in NV · 32149DI-0
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
9115 HAGUE RD, Indianapolis, IN 46256
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Other Providers at the Same Location NPPES 4

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

PREMISE HEALTH OF INDIANA MEDICAL PC
Clinic/Center (Multi-Specialty)
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-3600
BIOTEL INR, LLC
Physiological Laboratory
9115 HAGUE RD, STE 100
INDIANAPOLIS, IN 46256
Marion County (317) 521-2000
MRS. MARLA J. KINNAMAN NP
Nurse Practitioner (Family)
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-3780
ROCHE DIABETES CARE INC
Durable Medical Equipment & Medical Supplies
9115 HAGUE RD
INDIANAPOLIS, IN 46256
Marion County (317) 521-2000

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 Kristen Bourque's NPI number?

The NPI number for Kristen Bourque is 1881083699. It was assigned to this individual provider in the NPPES registry on January 16, 2015.

Where is Kristen Bourque located?

Kristen Bourque practices at 9115 Hague Rd, Indianapolis, IN 46256. The listed phone number is (317) 521-2000.

What is Kristen Bourque's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Kristen Bourque was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.