Lynn Marie Beaudry, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA19140 Issued in CA

Practice address

2100 Webster St Ste 331
San Francisco, CA 94115-2378

Phone

(415) 923-0944

Fax

(415) 923-5896

NPI assigned

Jun 7, 2007

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

Physician Assistant

State licenses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306049275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 331",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-923-0944",
            "fax_number": "415-923-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST STE 331",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152378",
            "telephone_number": "415-923-0944",
            "fax_number": "415-923-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA19140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Stanley Beattie, MD, MAS
• George William Beatty, MD
• Lani Pierre Beaty
• Andrew Beauchesne, MD
• Gabriel Beaudoin
• James Ernest Beauford, PHD
• Daniel Walter Beavers
• Jacqueline May Beavers, MFTI
• Erin M Beccia
• Ignacio Becerra-Licha, M.D.

• Surgical Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Surgical Physician Assistant in California

• 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.