MRS. KATHLEEN KITTILA BEAULIEU (NPI# 1972655884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972655884 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN KITTILA BEAULIEU |
| Credential | ATC |
| Practice Address |
5114 N Charles St Baltimore MD 21210-2021 |
| Mailing Address |
116 Elma Dr Newark DE 19711-8524 |
| Practice Telephone | 4106493315 |
| Mailing Telephone | 3024561791 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376966150 | Kathleen Beaulieu | Counselor | 4380 W 12th St, Suite 3, Erie, PA 16505-3028 | 2014-01-29 |
| 1548565013 | Kathleen Ann Beaulieu | Occupational Therapist | 30 Hope Dr, Hershey, PA 17033-2036 | 2011-01-14 |
| Street Address |
5114 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21210-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436685 | Elizabeth Ann Vaught | Specialist/Technologist | 5114 N Charles St, Baltimore, MD 21210-2021 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758527 | Mechelle Suezette Norris | Physical Medicine & Rehabilitation | Loyola University Maryland Athletics, 4501 N Charles St., Baltimore, MD 21210 | 2020-04-07 |
| 1164086906 | Lee Ann Kingham | Psychologist | 4301 Roland Springs Drive, Baltimore, MD 21210 | 2019-04-26 |
| 1871070748 | Indigo Physiotherapy, LLC | Dietitian, Registered | 600 Wyndhurst Avenue, Suite 102, Baltimore, MD 21210 | 2018-07-24 |
| 1669994505 | Stephen J Condouris | Nurse Practitioner | 4544 Keswick Rd, Baltimore, MD 21210 | 2017-07-12 |
| 1477942555 | John Alan Singer | Surgery | 24 Roland Green, Baltimore, MD 21210 | 2015-01-13 |
| 1710306816 | David Schaffer | Specialist/Technologist | 4501 North Charles St., Loyola University, Baltimore, MD 21210 | 2014-04-16 |
| 1306121538 | Carrie Anne Runde | Naturopath | 4800 Roland Avenue, Suite 201, Baltimore, MD 21210 | 2011-10-19 |
| 1699057109 | Eugenia A Lombardi | Clinical Nurse Specialist | 4502a N Charles St., Baltimore, MD 21210 | 2011-09-12 |
| 1629394192 | Loch Raven Pharmacy Inc | Pharmacy | 200 West Cold Spring Lane, Baltimore, MD 21210 | 2010-04-09 |
| 1922249572 | Julie F. Sanz | Nurse Practitioner | 4502a N. Charles St., Shs, Baltimore, MD 21210 | 2009-03-11 |
| Find all providers in zip 21210 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299028 | Shaneka Victor | Specialist/Technologist | 1526 E Baltimore St, Baltimore, MD 21231-1424 | 2020-03-05 |
| 1285266064 | Marquis Coleman | Specialist/Technologist | 1 Tomahawk Ter, Baltimore, MD 21220-3677 | 2020-02-10 |
| 1891339875 | Mallory Gomes | Specialist/Technologist | 351 W Camden St Ste 500, Baltimore, MD 21201-7912 | 2019-11-01 |
| 1396306379 | Diane M Finlayson | Specialist/Technologist | 1421 Clarkview Rd Ste 206, Baltimore, MD 21209-2106 | 2019-06-21 |
| 1164984118 | Joshua Fike | Specialist/Technologist | 1700 East Cold Spring Lane, Baltimore, MD 21251-0002 | 2019-04-01 |
| 1427513910 | Joseph Scott Celentano | Specialist/Technologist | 7108 Rodgers Ct, Baltimore, MD 21212-1523 | 2019-02-08 |
| 1295233021 | Ethan Schmelzer | Specialist/Technologist | 270 Holder Rd Nw, Baltimore, OH 43105-9713 | 2018-01-26 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| 1104357409 | Mollie Marie Swindell | Specialist/Technologist | 4405 Kenwood Ave Unit A, Baltimore, MD 21206-2032 | 2017-03-27 |
| 1699210229 | Kim N. Dang | Specialist/Technologist | 7 Whitelaw Pl Apt Tb, Baltimore, MD 21236 | 2017-01-06 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MRS. KATHLEEN KITTILA BEAULIEU.
| 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.