Edjeanine Boucicault, LPN
NPI 1912624115 · Licensed Practical Nurse · Lake Ronkonkoma, NY
Edjeanine Boucicault, LPN is a Licensed Practical Nurse provider in Lake Ronkonkoma, NY (NPI 1912624115).
Provider details
- NPI number
- 1912624115
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 332414-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Frequently asked questions
- What is Edjeanine Boucicault's NPI number?
- Edjeanine Boucicault's National Provider Identifier (NPI) is 1912624115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edjeanine Boucicault's specialty?
- Edjeanine Boucicault is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Edjeanine Boucicault located?
- Edjeanine Boucicault's practice location on file with NPPES is 153 Lake Shore Rd, Lake Ronkonkoma, NY 11779-3193.
- What is Edjeanine Boucicault's phone number?
- The practice phone number listed in the NPPES registry for Edjeanine Boucicault is (631) 522-6876.
- Is Edjeanine Boucicault's NPI active?
- Yes — Edjeanine Boucicault's NPI (1912624115) is active in the NPPES registry as of the last update on 2022-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.