Kemmarie Beal, NP, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KEMMARIE BEAL, NP, LLC

Practice address

340 Broad St Ste 304
Windsor, CT 06095-3030

Phone

(860) 776-0187

Fax

(815) 205-4087

NPI assigned

Sep 28, 2018

Organization subpart

No

Name

Kemmarie Beal, NPNPI 1780914374

Title

Owner

Phone

(860) 966-0141

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kemmarie C Beal, APRN

  • Nurse Practitioner
  • Windsor, CT
  • NPI 1780914374

  CT, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Messan Lawson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, CT
  • NPI 1164067443

  Psychiatric/Mental Health

  NPD (past)
• Blenda D Williams, MSW

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield Center, CT
  • NPI 1730330952
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

• Better Tomorrow Behavioral Healthcare Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 13, 2024.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1083199764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 304",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-776-0187",
            "fax_number": "815-205-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST STE 304",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-776-0187",
            "fax_number": "815-205-4087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Broad St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "CT",
            "postal_code": "060953030",
            "country_code": "US",
            "telephone_number": "860-776-0187",
            "fax_number": "815-205-4087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEMMARIE BEAL, NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "KEMMARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-966-0141",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083199764",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Tomorrow Behavioral Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Kehaya, LPC
• Carol Kelleher, PT
• Charlene A Kelly
• Jillian Kelly
• Kerice Kelly
• Debra Lynn Kemp
• Kendall Buraimoh Physiatry
• Taiham Tauseef Khan
• Yusra Irfan Khan
• Christina M Kiley

• All providers in Windsor, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.