NICHOLAS DALE BEAUDOIN


Address: 913 E 26th St Ste 600, Minneapolis, MN 55404
Phone: 6127756200

NICHOLAS DALE BEAUDOIN (NPI# 1194205526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194205526
Entity Type Individual
Full Name NICHOLAS DALE BEAUDOIN
Practice Address 913 E 26th St Ste 600
Minneapolis
MN 55404
Mailing Address 913 E 26th St Ste 600
Minneapolis
MN 55404-4515
Practice Telephone 6127756200
Mailing Telephone 6127756200
Enumeration Date 2018-08-15
Last Update Date 2020-10-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3251 71st St E, Inver Grove Heights, MN 550762552 6512310324

Office Location

Street Address 913 E 26TH ST STE 600
City MINNEAPOLIS
State MN
Zip Code 55404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740317387 Brandon Byars Specialist/Technologist 913 E 26th St Ste 600, Minneapolis, MN 55404-4515 2007-02-28
1215258462 Eiman Shafa Orthopaedic Surgery 913 E 26th St Ste 600, Minneapolis, MN 55404-4515 2010-06-22
1689834327 Siddharth Bhalchandra Joglekar Orthopaedic Surgery 913 E 26th St Ste 600, Minneapolis, MN 55404-4515 2008-06-16
1588782221 Cynthia Marie Florek Registered Nurse 913 E 26th St Ste 600, Minneapolis, MN 55404-4515 2007-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062461 Andrew Moe Counselor 2118 Blaisdell Ave S., Minneapolis, MN 55404 2020-10-29
1194368191 Luz Angelica Fehn Salinas Psychologist 1315 E24th St, Minneapolis, MN 55404 2019-10-22
1760969125 Bethany Karen Kenny Registered Nurse 910 E 26th St Ste 200, Minneapolis, MN 55404 2018-07-27
1225535701 Karissa Dougherty Nurse Practitioner 2200 E Franklin Ave # 199, Minneapolis, MN 55404 2018-04-10
1891299491 Guidance Home Health Care LLC Home Health 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 2018-03-20
1770085490 Bright Future Counseling Service, LLC Counselor 912 E. 24th St., Suite B215, Minneapolis, MN 55404 2018-03-08
1346754298 Juba Pharmacy Inc Pharmacy 1926 Chicago Ave S, Minneapolis, MN 55404 2017-11-29
1629597323 Kira Larson Fieldstrom Social Worker 2400 Blaisdell Ave., Minneapolis, MN 55404 2017-09-13
1770008930 Nicole Lynn Sparks Social Worker 2445 Park Avenue, Minneapolis, MN 55404 2017-08-09
1639612765 Cosmo Home Healthcare Services, L.L.C. Home Health 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 2016-11-21
Find all providers in zip 55404

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497354955 Sarah Marti Physician Assistant 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 2020-10-25
1679189021 Anne Elizabeth Drabot Physician Assistant 4741 Vincent Ave S, Minneapolis, MN 55410-1843 2020-09-21
1932714037 Kseniia Sosinovych Physician Assistant 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 2020-09-15
1659986743 Collin Jeffery Barry Physician Assistant 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 2020-09-15
1568077626 Alyssa Clements Physician Assistant 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 2020-09-14
1578178703 Nicholas H Sorenson Physician Assistant 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 2020-09-14
1861016743 Meredith Elise Lafond Physician Assistant 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 2020-06-05
1477182053 Hannah Grace Johnson Physician Assistant 3437 Chicago Ave, Minneapolis, MN 55407-2107 2020-04-05
1851921431 Nasima Omar Physician Assistant 3321 Emerson Ave S, Minneapolis, MN 55408-3528 2020-01-22
1861022600 Jeremiah Malecek Physician Assistant 3755 Bryant Ave N, Minneapolis, MN 55412-2156 2020-01-21
Find all providers in MINNEAPOLIS

Competitor

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City MINNEAPOLIS
Zip Code 55404

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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