Sara Beaudry, MSS, ATC, LAT

Primary specialty

ContractorTaxonomy code 171W00000X

License

6323994-4810 Issued in UT

Practice address

1840 S 1300 E
Salt Lake City, UT 84105-3617

Phone

(801) 832-2369

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1003154667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 S 900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062163",
            "telephone_number": "801-830-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841053617",
            "telephone_number": "801-832-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "SARA",
        "credential": "MSS, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "UT",
            "license": "6323994-4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Beattie, APRN
• Presten Beatty, DNP
• Stephen L Beaty, D.O.
• Bruce W Beauchamp, DO
• Spencer Douglas Beaudette, DO
• Calvin M Beaugez Jr., D.C.
• Allison Marie Lavinia Beaulieu, M.D.
• Beaver Valley Hospital
• Beaver Valley Hospital
• Beaver Valley Hospital

• All providers in Salt Lake City, UT
• Contractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.