Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline Boucher

Individual provider Registered Nurse · NPI 1871033571

Caroline Boucher is a Nurse Practitioner in Garden City, New York. Qualified in 2023, 3 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
3
Licensed in
FL, NY
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

200 Garden City Plz Ste 100
Garden City, NY 11530-3337
Phone: (407) 757-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F353842-01 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 714565 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 9427482 (FL)

Record details

NPI number1871033571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 28, 2017
Last updated in NPPESFebruary 22, 2026
Certification dateFebruary 22, 2026
Mailing address200 Garden City Plz Ste 100, Garden City, NY 11530-3337

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Garden City