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TARYN BOUCHER MD
NPI 1932780079
Student in an Organized Health Care Education/Training Program in Nashville, TN

Active since April 20, 2021PECOS Enrolled
1161 21ST AVENUE, SOUTH, B1124 MCN, NASHVILLE, TN 37232(615) 322-7484 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Taryn Boucher Md NPPES

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

TARYN BOUCHER MD (NPI 1932780079) is an individual student in an organized health care education/training program in Nashville, Tennessee and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932780079
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTARYN BOUCHERCredential: MD
Location Address1161 21ST AVENUE, SOUTH, B1124 MCNNashville, TN 37232-2521
Mailing Address1161 21st Avenue, South, B1124 McnNashville, TN 37232-2521 · (615) 322-7484
Phone(615) 322-7484
Sole ProprietorNo
Enumeration DateApril 20, 2021
NPPES CertifiedApril 20, 2021
✔ NPI 1932780079 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.
1161 21ST AVENUE, SOUTH, Nashville, TN 37232
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taryn Boucher Md 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

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

VANDERBILT UNIVERSITY
Skilled Nursing Facility
1161 21ST AVENUE, SOUTH, S-7400 MEDICAL CENTER NORTH
NASHVILLE, TN 37232
Davidson County (615) 322-5000

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 Taryn Boucher's NPI number?

The NPI number for Taryn Boucher is 1932780079. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Where is Taryn Boucher located?

Taryn Boucher practices at 1161 21st Avenue, South B1124 Mcn, Nashville, TN 37232. The listed phone number is (615) 322-7484.

What is Taryn Boucher's specialty?

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

Is Taryn Boucher enrolled in Medicare?

Yes. Taryn Boucher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taryn Boucher was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.