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NICHONDA BOUDREAUX
NPI 1922546548
Case Manager/Care Coordinator in Victorville, CA

Active since February 02, 2017
15095 AMARGOSA RD STE 208, VICTORVILLE, CA 92394(760) 245-4695 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Feb 2, 2017 (2 updates tracked since 2017).

About Nichonda Boudreaux NPPES

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

NICHONDA BOUDREAUX (NPI 1922546548) is an individual case manager/care coordinator provider in Victorville, California and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1922546548
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameNICHONDA BOUDREAUX
Location Address15095 AMARGOSA RD STE 208Victorville, CA 92394-1879
Mailing Address15095 Amargosa Rd Ste 208Victorville, CA 92394-1879 · (760) 245-4695
Phone(760) 245-4695
Sole ProprietorYes
Enumeration DateFebruary 2, 2017
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1922546548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
15095 AMARGOSA RD STE 208, Victorville, CA 92394
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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.

MARLEN OLMOS
Day Training/Habilitation Specialist
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 338-5492
MS. CAITLIN GABRIELLE TREMBLAY
Case Manager/Care Coordinator
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695
RAYNA PEREZ
Community Health Worker
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695
GARY THERAGOOD
Case Manager/Care Coordinator
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695
ALEXIS MARIE BRACKEN
Social Worker
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695
ALYSSA ANN LA CURAN
Case Manager/Care Coordinator
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 513-4600
ANGELA PALMA
Community Health Worker
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695
MS. DIANA BAKER
Case Manager/Care Coordinator
15095 AMARGOSA RD STE 208
VICTORVILLE, CA 92394
San Bernardino County (760) 245-4695

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 Nichonda Boudreaux's NPI number?

The NPI number for Nichonda Boudreaux is 1922546548. It was assigned to this individual provider in the NPPES registry on February 2, 2017.

Where is Nichonda Boudreaux located?

Nichonda Boudreaux practices at 15095 Amargosa Rd Ste 208, Victorville, CA 92394. The listed phone number is (760) 245-4695.

What is Nichonda Boudreaux's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Nichonda Boudreaux was last updated on May 23, 2022. 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.