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

Dr. Tina Anne Boucher, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1518945401

Dr. Tina Anne Boucher, DPM is a Podiatry in Meriden, Connecticut. Graduated from Temple University School of Medicine in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
24
Trained at
Temple University School of Medicine
Licensed in
CT
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

807 Broad St
Meriden, CT 06450-4301
Phone: (203) 238-3668
Fax: (203) 238-3670
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0000805 (CT)

Record details

NPI number1518945401
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESMay 26, 2016

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount