Janice Eilene Beauduy, MD, MS

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32492 Issued in MN

Practice address

10830 Major Ave N
Brooklyn Park, MN 55443-2295

Phone

(218) 290-3320

NPI assigned

Apr 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Janice Eilene Henry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

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

• Scott M Yarosh, LLC

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1144543265
  NPD
• Sibley Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Arlington, MN
  • NPI 1003876491
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1184686396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 MAJOR AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432295",
            "telephone_number": "218-290-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 MAJOR AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432295",
            "telephone_number": "218-290-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3962 W Long Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Eveleth",
            "state": "MN",
            "postal_code": "557344130",
            "country_code": "US",
            "telephone_number": "218-290-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUDUY",
        "first_name": "JANICE",
        "middle_name": "EILENE",
        "credential": "MD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "32492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "HENRY",
            "middle_name": "EILENE",
            "credential": "MD, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Ann Baum, RN, CDDN
• Tabor Baumli, PHARM.D.
• Amelia Baxley
• Jessica Bayer, PHARMD
• Jodi Beaty, LADC
• Belex Home Health Services SC
• Bell Medical Services Inc.
• Lafadria Lyndon Bell
• Monika May Bell, PHARMD
• Bella Beauty and Hair LLC

• Family Medicine Physician in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.