Jordan Boucher
NPI 1942697198ActiveOrganization· Dietitian, Registered· Port Orchard, WA
Dietitian, Registered in Port Orchard, Washington, registered in NPPES in April 2015. The authorized official on file is Jordan Lynn Boucher, RD, Registered Dietitian.
Overview
| NPI | 1942697198 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2015 |
| Last updated in NPPES | Apr 24, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI 60543717 | WA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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