BRANDY BEAUDRY (NPI# 1659790277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659790277 |
| Entity Type | Individual |
| Full Name | BRANDY BEAUDRY |
| Practice Address |
1610 Miller Park Way Milwaukee WI 53214-3604 |
| Mailing Address |
8807 W Boone Ave West Allis WI 53227-3429 |
| Practice Telephone | 4148377300 |
| Mailing Telephone | 4148377300 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
164020-30 | WI | Nursing Service Providers |
| Street Address |
1610 MILLER PARK WAY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53214-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033751599 | Crystal Marie Sims | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-10-16 |
| 1588221915 | Danielle York | Registered Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-05-21 |
| 1215499728 | Karen Shanahan | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-04-03 |
| 1043770365 | Alexandria Grace Vieth | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-03-22 |
| 1649737529 | Elizabeth Wills | Licensed Practical Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2019-02-27 |
| 1124598529 | Leah Marie Rajchel | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2018-11-28 |
| 1033685540 | Derek R Thruman | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2018-10-23 |
| 1538671409 | Therese Robinson | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2017-10-31 |
| 1487171542 | Alexis Simone Jefferson | Registered Nurse | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2017-08-29 |
| 1649713918 | Iran O Jennings | Counselor | 1610 Miller Park Way, Milwaukee, WI 53214-3604 | 2016-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740208 | Melanie Figueroa | Counselor | West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 | 2019-03-21 |
| 1619403011 | Lea Salome Denny | Counselor | 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 | 2017-05-04 |
| 1891148318 | West Allis Prescription Center Inc | Pharmacy | 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 | 2016-07-20 |
| 1316390495 | Kristina Overlee | Nurse Practitioner | 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 | 2016-07-13 |
| 1801239843 | Daniel Anthony Cichy | Pharmacist | 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 | 2013-04-09 |
| 1295072544 | Wisconsin Vision, Inc. | Optometrist | 1220 Miller Park Way, West Milwaukee, WI 53214 | 2013-01-07 |
| 1831457720 | Kevin Konieczka | Physical Therapist | 1224 Miller Parkway, Milwaukee, WI 53214 | 2012-04-27 |
| 1497031843 | Jill Elizabeth Gerou | Registered Nurse | 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 | 2011-10-31 |
| 1700176815 | Carolyn Hasek | Counselor | 1126 S 70th St Ste 112-113, West Allis, WI 53214 | 2011-04-10 |
| 1972802775 | Barbara Smith | Licensed Practical Nurse | 651 S 63 St, Apt1, Milwaukee, WI 53214 | 2011-03-18 |
| Find all providers in zip 53214 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790271203 | Sarah M Veloskey | Registered Nurse | 4800 S 10th St # 310, Milwaukee, WI 53221-2412 | 2018-07-09 |
| 1144761123 | Carolyn Exum | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2017-03-10 |
| 1639623002 | Katrina Lashell Gray | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2016-08-15 |
| 1033541081 | Monique Yevette Russ | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2013-08-01 |
| 1992140792 | Jeanette Weix | Registered Nurse | 3707 N Richards St, Milwaukee, WI 53212-1673 | 2013-05-07 |
| 1063855914 | Patricia Marie Brunette | Registered Nurse | 4800 S 10th St Unit 1, Milwaukee, WI 53221-2412 | 2013-04-10 |
| 1134256951 | Catherine Flowers | Registered Nurse | 4383 N 27th St, Milwaukee, WI 53216-1809 | 2007-02-28 |
| 1346380656 | Cynthia M Gjerde | Registered Nurse | 4800 S 10th St, Milwaukee, WI 53221-2412 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1801402755 | Marnie Meisner | Registered Nurse | 4004 Lake St, Burlington, WI 53105-9449 | 2020-09-16 |
| 1942772827 | Stacy Sprewell | Registered Nurse | 888 N Edge Trl, Verona, WI 53593-1947 | 2018-12-17 |
| 1093299455 | Mariela Ruiz | Registered Nurse | 151 E Badger Rd Unit A, Madison, WI 53713-2708 | 2018-09-21 |
| 1396222923 | Jessica Rouse-edmonds | Registered Nurse | 2240 Prairie Ave Ste 10, Beloit, WI 53511-2648 | 2018-07-26 |
| 1689196255 | Kristen Ashley Haltom | Registered Nurse | 2979 Allied St Suite C, Green Bay, WI 54304 | 2017-07-14 |
| 1982051918 | Renee Teigen-stary | Registered Nurse | 3440 Oakwood Hills Parkway, Eau Claire, WI 54701 | 2016-05-19 |
| 1518342385 | Deanna Heller | Registered Nurse | 5808 Cedar Ct, Mc Farland, WI 53558-8909 | 2015-07-22 |
| 1871916890 | Mary Kathleen Ransom | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2708 | 2014-01-27 |
| 1376981811 | Mark Russell Schmitt | Registered Nurse | 1804 Dixie Dr., Waukesha, WI 53189 | 2013-06-06 |
| Find all providers with the same taxonomy | ||||
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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.