Rebecca O Beaudoin, R.N., C.D.E

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

0260020604 Issued in VT

Practice address

111 Colchester Ave
CSC
Burlington, VT 05401-1473

Phone

(802) 847-6200

Fax

(802) 847-5364

NPI assigned

Nov 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124195268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DOON WAY",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054523567",
            "telephone_number": "802-879-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "CSC",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-6200",
            "fax_number": "802-847-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "REBECCA",
        "middle_name": "O",
        "credential": "R.N., C.D.E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "VT",
            "license": "0260020604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Beams, LCMHC
• Catherine Bean, RN
• Kathryn C Bean, RD, LD
• Victoria Rose Bean, PTA
• Glenn Joseph Beatty, LICSW
• Jennifer Bechard, PHARM D
• Monique Bedard, MS, LCMHC
• Tanesha Beebe-Peat, MD
• Justin Beebe
• Moataz Behairy, MD

• Diabetes Educator Registered Nurse in Burlington, VT
• Providers in Burlington, VT by specialty
• Diabetes Educator Registered Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.