NPIMap

Individual provider Active NPI

Kathryn Beaulieu

  • Pediatrics Physician
  • Cold Spring, KY
National Provider Identifier
1023479060
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
53789 Issued in KY
Practice address
3955 Alexandria Pike
Cold Spring, KY 41076-2027
Phone
(859) 442-8700
Fax
(859) 442-8718
NPI assigned
Mar 18, 2016
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 53789 KY
Pediatrics Physician 208000000X 53789 KY Primary

Addresses

Primary practice location

3955 Alexandria Pike
Cold Spring, KY 41076-2027

Mailing address

237 William Howard Taft Rd
Cincinnati, OH 45219-2610
Phone (513) 351-9900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbeaulieu151589@direct.thechristhospital.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201009001477 KY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 5991097768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christ Hospital Medical Associates, II LLCGroup PAC ID 7012197619, 24 clinicians

Practice addresses (Care Compare)

3955 Alexandria Pike
Cold Spring, KY 41076-2027
Phone (859) 442-8700

580 Buttermilk Pike
Crescent Springs, KY 41017-1635
Phone (859) 341-6654

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.71 of 100Reported as group
Quality
93.7
Promoting interoperability
100
Improvement activities
40
Cost
72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital Medical Associates II, LLC Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
UC Health Past Accepting new patients

Locations

3955 Alexandria Pike
Cold Spring, KY 41076
Phone (859) 431-4430

1955 Dixie Hwy
Ste D
Ft Wright, KY 41011
Phone (859) 341-5757

237 Wm Howard Taft Rd
Cincinnati, OH 45219
Phone (513) 351-9900

Interoperability endpoints

  • Direct secure messaging: kbeaulieu151589@direct.thechristhospital.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1023479060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-351-9900",
            "fax_number": "513-366-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 ALEXANDRIA PIKE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410762027",
            "telephone_number": "859-442-8700",
            "fax_number": "859-442-8718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "53789",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "53789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbeaulieu151589@direct.thechristhospital.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3955 Alexandria Pike",
            "city": "Cold Spring",
            "state": "KY",
            "country_code": "US",
            "postal_code": "410762027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cold Spring, KY

Sources for this page

Verify at the official NPI Registry.