OrganizationActive
Jordan Boucher
NPI 1942697198 · Registered Dietitian · Port Orchard, WA
Jordan Boucher is a Registered Dietitian organization in Port Orchard, WA (NPI 1942697198).
Provider details
- NPI number
- 1942697198
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Jordan Boucher, Registered Dietitian(713) 689-9673
- License
- DI 60543717 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
3333 Se Horstman Rd
Port Orchard, WA 98366-4054
Phone: (713) 689-9673
Street-level locationGet directions
Mailing address
3333 Se Horstman Rd
Port Orchard, WA 98366-4054
Other names (DBA / former)
- Other name
- Lively Greens
Registry dates
- Enumerated
- 2015-04-24
- Last updated
- 2015-04-24
Frequently asked questions
- What is Jordan Boucher's NPI number?
- Jordan Boucher's National Provider Identifier (NPI) is 1942697198, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jordan Boucher?
- Jordan Boucher is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jordan Boucher located?
- Jordan Boucher's practice location on file with NPPES is 3333 Se Horstman Rd, Port Orchard, WA 98366-4054.
- What is Jordan Boucher's phone number?
- The practice phone number listed in the NPPES registry for Jordan Boucher is (713) 689-9673.
- Who is the authorized official for Jordan Boucher?
- The authorized official listed on Jordan Boucher's NPPES record is Jordan Boucher, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jordan Boucher's NPI active?
- Yes — Jordan Boucher's NPI (1942697198) is active in the NPPES registry as of the last update on 2015-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.