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Cerise Marie Boucher , ATC

Specialist/Technologist - Athletic Trainer β€’ Castleton, VT

Active NPI 1003942038 Individual Practitioner Female Practitioner
Practice location in NPPES

Castleton University, 190 University Drive
Castleton, VT 057350573

Call 8024681435 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

Castleton University
190 University Drive

Castleton, VT 057350573

Telephone 8024681435
Fax 8024682189

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Castleton and Vermont

8 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Castleton, VT (188 in Vermont).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-23
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES VT 1040000061

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Vermont State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 16, 2021

Registered at CASTLETON UNIVERSITY, 190 UNIVERSITY DRIVE, CASTLETON, VT 057350573 (Tel: 8024681435)

πŸ“
Updated Business Mailing Address June 16, 2021

Registered at 1668 SOUTH ST, CASTLETON, VT 057359254 (Tel: 8026718052)

πŸ‘€
Provider Name / Credentials Updated June 16, 2021

Recorded as CERISE BOUCHER, ATC

βœ…
NPI Profile Active August 15, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 15, 2014

Registered at CASTLETON STATE COLLEGE, GLENBROOK GYM, CASTLETON, VT 05735 (Tel: 8024681435)

πŸ“
Business Mailing Address (Initial Record) August 15, 2014

Registered at 698 SOUTH ST, CASTLETON, VT 057359159 (Tel: 8026718052)

πŸ‘€
Provider Name / Credentials (Initial Record) August 15, 2014

Recorded as CERISE BARBER, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2014

Specialist/Technologist (license number reported to NPPES: VT 1040000061)

🟒
Initial NPI Registration & Enumeration February 26, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1003942038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2007
Last Update: June 16, 2021
Sole Proprietor: Yes

Mailing Address

1668 South St

Castleton, VT 057359254

Phone: 8026718052

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.