Christy Marie Beaudrie

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9616 Portage Rd
Portage, MI 49002-7257

Phone

(269) 492-2494

NPI assigned

Jun 22, 2012

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

Other names 1

• Christy Marie Chambers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1407119555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 PORTAGE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027257",
            "telephone_number": "269-492-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRIE",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "CHAMBERS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Elizabeth Battle, DMD
• Melanie Baumgart
• Nicolette P Baumgartner, MD
• Beacon Pointe
• Stefanie Beattie, MS, BCBA
• Katelyn Beauvais
• Reginald Bebri
• Nancy J Beckman, P.A.
• Cassandra Bednar, PT
• Natalie M Behrle, MD

• Behavior Analyst in Portage, MI
• Providers in Portage, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.