MICHELLE DIANE BEAUPRE (NPI# 1760752091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760752091 |
| Entity Type | Individual |
| Full Name | MICHELLE DIANE BEAUPRE |
| Credential | FNP |
| Practice Address |
1300 Rollingbrook Dr Ste 508 Baytown TX 77521-3846 |
| Practice Telephone | 2818376463 |
| Practice Fax Number | 2808370600 |
| Mailing Telephone | 2818376463 |
| Mailing Fax Number | 2808370600 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 747149 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
747149 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2982043 | 05 | |
| TX | BCBS | 871N17 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1851303655 | Michelle J. Beaupre | Family Medicine | 1 Compass Way, Suite 200, East Bridgewater, MA 02333-1465 | 2006-08-12 |
| Street Address |
1300 ROLLINGBROOK DR STE 508 |
| City | BAYTOWN |
| State | TX |
| Zip Code | 77521-3846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477615649 | Mary Ann Browning | Physician Assistant | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2006-12-14 |
| 1164022257 | Emily Win Song | Psychiatry & Neurology | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | 2020-10-28 |
| 1124630231 | Jessica Parker | Counselor | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | 2020-08-19 |
| 1770126302 | Alyssa Leyva | Counselor | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | 2019-10-27 |
| 1255983961 | Neha K Kalra | Counselor | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | 2019-07-12 |
| 1376023135 | Mianna Lintao | Nurse Practitioner | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3863 | 2018-08-20 |
| 1457858003 | Josue Omar Munoz | Nurse Practitioner | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2018-04-10 |
| 1710403282 | Sheryl Ann Vinci | Nurse Practitioner | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2017-08-16 |
| 1427270503 | Mohamed S Ahmed Md Pa | Psychiatry & Neurology | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2007-05-02 |
| 1841338126 | Mohamed S Ahmed | Psychiatry & Neurology | 1300 Rollingbrook Dr Ste 508, Baytown, TX 77521-3846 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
| 1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
| 1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
| 1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
| 1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
| 1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
| 1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
| 1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
| Find all providers in zip 77521 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992343420 | Candice Elizabeth Parrack | Nurse Practitioner | 7702 Echinacea Dr, Baytown, TX 77521-8263 | 2019-12-16 |
| 1235781089 | Perla Yuridia Cedillo | Nurse Practitioner | 7502 Broken Arrow St, Baytown, TX 77521-9800 | 2019-07-11 |
| 1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
| 1972039642 | Kevyn Bieschke | Nurse Practitioner | 7423 Ulysses Ln, Baytown, TX 77521-7809 | 2017-05-02 |
| 1508242785 | Afaf Aburamadan | Nurse Practitioner | 4002 Garth Rd Ste 130, Baytown, TX 77521-3179 | 2015-08-10 |
| 1932599784 | Crystal Louise Ugarte | Nurse Practitioner | 2706 Kentucky St, Baytown, TX 77520-6060 | 2015-02-02 |
| 1285058305 | Jacqueline Ross Farley | Nurse Practitioner | 8303 Fennel Dr, Baytown, TX 77521-7521 | 2014-02-10 |
| 1902241417 | Shakira J Daniels | Nurse Practitioner | 3717 Emmett Hutto, Apt 410, Baytown, TX 77521 | 2013-05-10 |
| 1346581931 | Trudy B Istre | Nurse Practitioner | 2610 N. Alexander Dr. Suite 201, Baytown, TX 77520 | 2013-03-07 |
| 1790039253 | Brandi Renee Sawyer | Nurse Practitioner | 1614 Maryon St, Baytown, TX 77523-9501 | 2012-11-06 |
| Find all providers in BAYTOWN | ||||
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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.