DANIELLE A. BOUCHER M.D. – NPI #1508850504
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

DANIELLE BOUCHER is a physician located in INDIALANTIC, FL. NPPES has assigned the NPI number 1508850504 to DANIELLE BOUCHER on September 06, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her other name DANIELLE A. LINCK. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DANIELLE BOUCHER below.

NPI Profile for
DANIELLE A. BOUCHER

NPI Number
1508850504
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DANIELLE A. BOUCHER
Other Name: DANIELLE A. LINCK
Credentials
M.D.
Primary location
1220 N HIGHWAY A1A STE 147
INDIALANTIC, FL 32903-2858
Phone: (321) 242-8790 Fax: (321) 242-1541
1 Other location(s):
7125 Murrell Road
Viera, FL 32940-7999
Phone: (321) 242-8790
Fax: (321) 242-1541
Mailing address
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone: (321) 242-8790 Fax: (321) 951-7408
Sole Proprietor
No
Updated
Identifiers

Identifiers for DANIELLE BOUCHER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAETNAFL2599246
OTHERCIGNAFL5481530001
OTHERFLORIDA BLUE (BCBS OF FL)FL51172
OTHERRR MEDICAREFLP01164038
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
FL ME82139

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.