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

Emmanuel Bouloute, NP

Individual provider Nurse Practitioner · NPI 1942608674

Emmanuel Bouloute, NP is a Nurse Practitioner in Dorchester, Massachusetts. Qualified in 2014, 12 years ago. Practices with Codman Square Health Center, Inc, a 67-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
12
Licensed in
MA
In the registry since
2014
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

637 Washington St
Dorchester, MA 02124-3510
Phone: (617) 825-9660
Fax: (617) 288-7898
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN2284528 (MA)

Record details

NPI number1942608674
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 11, 2014
Last updated in NPPESDecember 11, 2014
Mailing address637 Washington St, Dorchester, MA 02124-3510

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Codman Square Health Center, Inc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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