Nicole Saint Simone Beaufort, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2010-01768 Issued in NC

Practice address

451 Ruin Creek Rd
Suite 101
Henderson, NC 27536-2878

Phone

(919) 492-9565

Fax

(919) 492-5373

NPI assigned

Mar 19, 2007

Last updated

Jul 15, 2013By 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

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.beaufort.p1@direct.ncpedsassociates.nextgenshare.com
• Direct secure messaging: nicolebeaufort@ncpa.allscriptsdirect.net

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.

• Cornelius F. Cathcart, Pediatrics, PA

  dba N.C. Pediatric Associates

  • Pediatrics Physician
  • Louisburg, NC
  • NPI 1407137938
  NPD (past)
• Cornelius F. Cathcart, Pediatrics, PA

  dba N.C. Pediatric Associates

  • Pediatrics Physician
  • Henderson, NC
  • NPI 1902991698
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1407970825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "919-492-9565",
            "fax_number": "919-492-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "919-492-9565",
            "fax_number": "919-492-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUFORT",
        "first_name": "NICOLE",
        "middle_name": "SAINT SIMONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2010-01768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Bart-Plange
• Alison Dawn Bartel, MD
• Lizette Shanta Baskerville
• Ashley Bavar
• Emily Blackman Beasley, PTA
• John Beck, ACSW, LCSW
• Beckford Avenue Medical Center PA
• Beckford Avenue Medical Center PA (Beckford Avenue Medical Center)
• Beckford Drive Operating Company LLC (Camellia Gardens Center for Nursing and Rehabilitation)
• Behavioral Health Diagnostics, PLLC

• Pediatrics Physician in Henderson, NC
• Providers in Henderson, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.