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

Chandel Marie Bouthot, FNP

Individual provider Family Nurse Practitioner · NPI 1821774068

Chandel Marie Bouthot, FNP is a Nurse Practitioner in Newtown, Connecticut. Qualified in 2023, 3 years ago. Practices with Pcma Palliative Division LLC, a 74-clinician group. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

164 Mount Pleasant Rd Ste 202
Newtown, CT 06470-1477
Phone: (203) 270-1016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12091 (CT)

Record details

NPI number1821774068
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

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)
Group practice Pcma Palliative Division Llc — 74 clinicians
Accepts Medicare assignment Not indicated

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