Danielle Beaudoin, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

101.0121759 Issued in VT

Practice address

28 Park Ave
Williston, VT 05495-9701

Phone

(802) 878-1008

NPI assigned

Jun 9, 2016

Last updated

Jun 9, 2016By 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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mission Medical Care PCGroup PAC ID 2365705696, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mission Medical Care PC

  • Internal Medicine Physician
  • Rockville Centre, NY
  • NPI 1750898565

  Adult Health, VT

  Medicare reassignment Care Compare group NPD
• University of Vermont Nursing and Health Sciences Practice Group

  • Adult Health Nurse Practitioner
  • Burlington, VT
  • NPI 1679986327
  Medicare reassignment
• Alder Brook Family Health P.C.

  • Family Medicine Physician
  • Essex Junction, VT
  • NPI 1952332124
  NPD (past)

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1326497306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 PARK AVE",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959701",
            "telephone_number": "802-878-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 PARK AVE",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054959701",
            "telephone_number": "802-878-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "DANIELLE",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0121759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baudreau Counseling and Psychotherapy LLC
• Kathryn Alice Baudreau, LICSW
• Bayada Home Health Care, Inc.
• Beach Wellbeing LLC (Miki J Beach, LICSW)
• Miki Beach, LICSW
• Randi Lauren Becker, ATR-BC, LCMHC
• David Wesley Beeson, O.D.
• Eliza Behrsing, LICSW
• Luann Bellis, PTA
• Benjamin Physical Medicine, PLC

• Adult Health Nurse Practitioner in Williston, VT
• Providers in Williston, VT by specialty
• Adult Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.