DEBRA A BEAUCHAINE (NPI# 1275671901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275671901 |
Entity Type | Individual |
Full Name | DEBRA A BEAUCHAINE |
Credential | ANP |
Practice Address |
250 E Dunlap Ave Phoenix AZ 85020-2825 |
Practice Telephone | 6028706060 |
Practice Fax Number | 6022165633 |
Mailing Telephone | 6028706060 |
Mailing Fax Number | 6022165633 |
Enumeration Date | 2007-02-02 |
Last Update Date | 2013-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP3262 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP30004269 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | LABOR AND INDUSTRIES # | 0039581 | 01 |
WA | BLUE SHIELD# | 3688BE | 01 |
WA | 9638552 | 05 | |
WA | AETNA SPECIALIST PIN | US7777426 | 01 |
Street Address |
250 E DUNLAP AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85020-2825 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699771634 | Patrick Kelledy | Anesthesiology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2005-06-23 |
1285258137 | Honorhealth Ambulatory | Psychiatry & Neurology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-06-05 |
1962038232 | Elisa Martinez | Registered Nurse | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-03-19 |
1235761115 | Kathleen Elias | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2020-02-07 |
1801430541 | Neurone, PC | Psychiatry & Neurology | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-11-06 |
1700435005 | Alexandra Anna Maga | Pharmacist | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-09-09 |
1306300777 | Dustin Bruce Hahn | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2019-01-29 |
1780167155 | Amy Hoagland | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-09-12 |
1063991388 | Danielle Leora Colin | Nurse Practitioner | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-08-08 |
1598254138 | On Day 8 LLC | Surgery | 250 E Dunlap Ave, Phoenix, AZ 85020-2825 | 2018-05-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
Find all providers in zip 85020 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819230 | Care On Pllc | Nurse Practitioner | 7171 S 51 Ave, Phoenix, AZ 85339-2923 | 2020-07-23 |
1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
1710522024 | Kelsey Conrad | Nurse Practitioner | 1 E Lexington Ave Unit 1602, Phoenix, AZ 85012-4203 | 2019-11-11 |
1124662408 | Rayiom Health and Wellness, Inc | Nurse Practitioner | 11225 N 28th Dr Ste A102-22, Phoenix, AZ 85029-5606 | 2019-10-30 |
1699259580 | Keith Dibenedetto | Nurse Practitioner | 2617 Stockton Rd, Phoenix, MD 21131-1117 | 2018-09-18 |
1467975698 | Samantha June Collett | Nurse Practitioner | 3201 W Peoria Ave Ste 804, Phoenix, AZ 85029 | 2017-07-19 |
1598135741 | Sandra Shearer | Nurse Practitioner | 513 W Lavitt Ln, Phoenix, AZ 85086-6346 | 2015-09-30 |
1023499860 | Kelly Lynn Schultz | Nurse Practitioner | 3944 E Hillery Dr, Phoenix, AZ 85032-5245 | 2015-06-17 |
1609298900 | Lorna Ann Hill | Nurse Practitioner | 13224 N 31st Pl, Phoenix, AZ 85032-6041 | 2014-01-06 |
1801217765 | Trifit Pain Management LLC | Nurse Practitioner | 505 E Camelback Rd, Phoenix, AZ 85012-1615 | 2013-12-19 |
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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.