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

Katelin Ashley Bouchard, APRN

Individual provider Hospice and Palliative Medicine (Family Medicine) Physician · NPI 1013507110

Katelin Ashley Bouchard, APRN is a Nurse Practitioner in Bristol, Connecticut. Qualified in 2020, 6 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Connecticut.

Years since qualifying
6
Licensed in
CT
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

130 Collins Rd
Bristol, CT 06010-3859
Phone: (860) 919-5626
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 9445 (CT)
Hospice and Palliative Medicine (Family Medicine) Physician Taxonomy 207QH0002X · Licence 9445 (CT)

Record details

NPI number1013507110
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 22, 2021
Last updated in NPPESFebruary 26, 2021
Certification dateFebruary 26, 2021
Mailing address130 Collins Rd, Bristol, CT 06010-3859

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated