Jean M. Bouche, R.D.
NPI 1396801874ActiveIndividual· Dietitian, Registered· Appleton, WI
Dietitian, Registered (R.D.) in Appleton, Wisconsin, licensed in WI, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1396801874 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D. |
| Sole proprietor | No |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Aug 1, 2025 |
| Certified by provider | Aug 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1276-029 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (WI) |
|---|
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