Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013919992 Deactivated / Inactive NPI Female Practitioner

Dr. Kristy Sue Bouchard , DC

Chiropractor • Salado, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kristy Bouchard has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 11, 2005
NPI Deactivation Date April 03, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kristy Bouchard, DC was a registered Chiropractor practicing in Salado, TX. Throughout an active medical career spanning 20 years, Dr. Bouchard provided care at the practice location at 125 SATCH DR until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

125 Satch Dr
Unit A

Salado, TX 765715849

Telephone 2487672183
Associated Practice Facility / Clinic
🏢 Bouchard Chiropractic Pllc Facility NPI 1134542517

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Salado, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Salado, TX (7266 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 574053

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Career & Practice History Timeline

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

15 Historical Events
⚠️
NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2019

Chiropractor (License #2301007569 in MI)

📍
Updated Practice Location June 06, 2018

Registered at 308 TOWN CENTER DR, TROY, MI 480841742 (Tel: 2489062225)

📍
Updated Business Mailing Address June 06, 2018

Registered at PO BOX 4511, TROY, MI 48099 (Tel: 2489062225)

NPI Profile Active January 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 16, 2018

Registered at 1147 E LONG LAKE RD STE 3, TROY, MI 480854943 (Tel: 2485242223)

📍
Updated Business Mailing Address January 16, 2018

Registered at 1147 E LONG LAKE RD STE 3, TROY, MI 480854943 (Tel: 2485242223)

👤
Provider Name / Credentials Updated January 16, 2018

Recorded as KRISTY BOUCHARD, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2018

Chiropractor (License #574053 in MI)

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2016

Registered at 125 SATCH DR, UNIT A, SALADO, TX 765715849 (Tel: 2487672183)

📍
Updated Business Mailing Address August 23, 2016

Registered at 1065 E LONG LAKE RD, TROY, MI 480854912 (Tel: 2487672183)

👤
Provider Name / Credentials Updated August 23, 2016

Recorded as KRISTY BOUCHARD, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Chiropractor (License #574053 in MI)

🟢
Initial NPI Registration & Enumeration August 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kristy Bouchard. Be the first to share your experience!

Sign in to leave a review for Dr. Kristy Bouchard

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1013919992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2005
Last Update: August 23, 2016
Deactivation Date: April 03, 2025

Mailing Address

1065 E Long Lake Rd

Troy, MI 480854912

Phone: 2487672183

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.