What is Alisa Boucher's NPI number?

Alisa Boucher's National Provider Identifier (NPI) is 1629740113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Alisa Boucher's specialty?

Alisa Boucher is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).

Where is Alisa Boucher located?

Alisa Boucher's practice location on file with NPPES is 4233 Island Park Dr, Waterford, MI 48329-1916.

What is Alisa Boucher's phone number?

The practice phone number listed in the NPPES registry for Alisa Boucher is (248) 468-6823.

Is Alisa Boucher's NPI active?

Yes — Alisa Boucher's NPI (1629740113) is active in the NPPES registry as of the last update on 2021-10-02.

IndividualActive

Alisa Boucher, MS

NPI 1629740113 · Nutritionist · Waterford, MI

Alisa Boucher, MS is a Nutritionist provider in Waterford, MI (NPI 1629740113).

Provider details

NPI number: 1629740113
Entity type: Individual
Primary specialty: NutritionistDietary & Nutritional Service Providers
Credential: MS
Sex: Female
Sole proprietor: Yes

Practice location

4233 Island Park Dr

Waterford, MI 48329-1916

Phone: (248) 468-6823

Street-level locationGet directions

More MI providers

Mailing address

7111 Dixie Hwy Ste 362

Clarkston, MI 48346-2077

Specialties & taxonomies

NutritionistPrimary133N00000X
Dietary & Nutritional Service Providers
Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers

Profile Score

Established profile(56/100 index)

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

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
83% 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.

Enumerated: 2021-10-02
Last updated: 2021-10-02
Certified: 2021-10-02

Frequently asked questions

What is Alisa Boucher's NPI number?: Alisa Boucher's National Provider Identifier (NPI) is 1629740113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Alisa Boucher's specialty?: Alisa Boucher is listed in the NPPES registry with a primary specialty of Nutritionist (Dietary & Nutritional Service Providers).
Where is Alisa Boucher located?: Alisa Boucher's practice location on file with NPPES is 4233 Island Park Dr, Waterford, MI 48329-1916.
What is Alisa Boucher's phone number?: The practice phone number listed in the NPPES registry for Alisa Boucher is (248) 468-6823.
Is Alisa Boucher's NPI active?: Yes — Alisa Boucher's NPI (1629740113) is active in the NPPES registry as of the last update on 2021-10-02.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions