Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053530345 Individual Practitioner Female Practitioner

Nicole Renae Boucher , SLP

Speech-Language Pathologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Nicole Boucher, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Fargo, ND. Practice services are available at 1702 UNIVERSITY DR S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1702 University Dr S

Fargo, ND 581034940

Telephone 7013643300
Fax 7013648906
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1740231182

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.0 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
259 Specialists

Practicing in Fargo, ND (1024 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ND 771

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bangalore Vijayalakshmi , MD

Physical Medicine & Rehabilitation

NPI 1003843574

Doctor of Medicine (M.D.)

Dr. David Carlson , MD

Internal Medicine

NPI 1013947100

Doctor of Medicine (M.D.)

Dr. Robert Renschler , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023363587

Doctor of Podiatric Medicine

NPI 1033134374

Doctor of Optometry

NPI 1033430780

Doctor of Medicine (M.D.)

Dr. Bess Martin , PhD, LP

Clinical Neuropsychologist

NPI 1043415318

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2014

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: 7013643300)

📍
Updated Business Mailing Address January 27, 2014

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 7013643300)

👤
Provider Name / Credentials Updated January 27, 2014

Recorded as NICOLE BOUCHER, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Speech-Language Pathologist (License #771 in ND)

🟢
Initial NPI Registration & Enumeration April 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053530345
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: January 27, 2014
Sole Proprietor: No

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 7013643300

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.