What is Ellen Boudreau's NPI number?

Ellen Boudreau's National Provider Identifier (NPI) is 1053325621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ellen Boudreau's specialty?

Ellen Boudreau is listed in the NPPES registry with a primary specialty of Military Health Care Provider (Other Service Providers).

Where is Ellen Boudreau located?

Ellen Boudreau's practice location on file with NPPES is 6405 Cardinal Ln, Columbia, MD 21044-4020.

What is Ellen Boudreau's phone number?

The practice phone number listed in the NPPES registry for Ellen Boudreau is (301) 452-7115.

Is Ellen Boudreau's NPI active?

Yes — Ellen Boudreau's NPI (1053325621) is active in the NPPES registry as of the last update on 2017-01-16.

IndividualActive

Ellen Boudreau, M.D.

NPI 1053325621 · Military Health Care Provider · Columbia, MD

Ellen Boudreau, M.D. is a Military Health Care Provider provider in Columbia, MD (NPI 1053325621).

Provider details

NPI number: 1053325621
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: M.D.
Sex: Female
Sole proprietor: No
License: D0035540 (MD)

Specialties & taxonomies

Military Health Care ProviderPrimary171000000XLicense D0035540 (MD)
Other Service Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

6405 Cardinal Ln

Columbia, MD 21044-4020

Phone: (301) 452-7115

Street-level locationGet directions

More MD providers

Mailing address