Hailey Beaudry, PA-C, RDN

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110009915 Issued in VA

Practice address

1550 Tomcat Blvd
Virginia Beach, VA 23460-2218

Phone

(757) 953-9915

NPI assigned

Mar 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1023876018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 SEATON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647630",
            "telephone_number": "616-340-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TOMCAT BLVD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234602218",
            "telephone_number": "757-953-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "HAILEY",
        "credential": "PA-C, RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110009915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie T Beasley, PT
• Meaghan McNeal Beasley, PHARMD
• Susan C Beasley
• Barbara Terese Beatty, LPC, NCC, CSAC
• Maxine Ruth Beatty, MD
• Edith Caroly Beaujon, LSW
• Brian L Beaulieu, PT, MPT, OCS,CMTPT
• Elizabeth Beaume-Vinasco
• Beautiful and Joyful Ventures Inc
• Beaver Sloan Christian and Mental Health Counseling

• Medical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.