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Active NPI 1861559908 Individual Practitioner Female Practitioner

Kimber Anne Bouchard , NP

Nurse Practitioner - Gerontology • Mount Dora, FL

Professional Overview & Biography Verified Profile Summary

Kimber Bouchard, NP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Mount Dora, FL. Practice services are available at 2146 WALLINGFORD LOOP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2146 Wallingford Loop

Mount Dora, FL 327578503

Telephone 3524230666

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Mount Dora, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Mount Dora, FL (1058 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-18
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License FL APRN11018226

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License MA 178272

Definition to come...

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MA 178272

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 18, 2022

Registered at 2146 WALLINGFORD LOOP, MOUNT DORA, FL 327578503 (Tel: 3524230666)

📍
Updated Business Mailing Address April 18, 2022

Registered at 2146 WALLINGFORD LOOP, MOUNT DORA, FL 327578503 (Tel: 3524230666)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 950 WINTER ST, SUITE 3800, WALTHAM, MA 024511424 (Tel: 7814728650)

📍
Updated Business Mailing Address July 08, 2007

Registered at 950 WINTER ST, SUITE 3800, WALTHAM, MA 024511424 (Tel: 7814728650)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KIMBER BOUCHARD, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #178272 in MA)

🟢
Initial NPI Registration & Enumeration January 01, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861559908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2007
Last Update: April 18, 2022
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2146 Wallingford Loop

Mount Dora, FL 327578503

Phone: 3524230666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.