Kathryn Beaulieu Fournier, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R177981 Issued in MD

Practice address

13407 Lydia St
Silver Spring, MD 20906-5225

Phone

(240) 470-0781

NPI assigned

Apr 20, 2017

Last updated

Aug 1, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7466/brand/1/csg/1/fhir/r4
• Direct secure messaging: kathryn.fournier.p1@direct.mcg-hhs.nextgenshare.com

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.

• Arundel Pediatrics, PA

  • Pediatrics Physician
  • Arnold, MD
  • NPI 1265400113
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1225562812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 POCONO DR",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122448",
            "telephone_number": "202-412-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13407 LYDIA ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065225",
            "telephone_number": "240-470-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "KATHRYN",
        "middle_name": "BEAULIEU",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "292461",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R177981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC0003541",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivarys Fouegap Fonkeng
• Ghislaine Fougy, MD
• James Michael Foulkes, LMT
• Foundational Medicine LLC
• Four Corners Ambulatory Surgical Center LLC
• Penelope Jayne Fovall, M.AC., L.AC.
• Ashley Fowler
• Bruce Todd Fox, DPM
• Evelyn Fox, CRNP
• Ingrid Fox, PTA

• Pediatric Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.