David John Beauchene Jr., ATC, AT/L

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

A1 60298159 Issued in WA

Practice address

400 E University Way
Ellensburg, WA 98926-7502

Phone

(509) 963-3238

NPI assigned

Sep 25, 2013

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1457787293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 48TH ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983713619",
            "telephone_number": "253-820-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E UNIVERSITY WAY",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989267502",
            "telephone_number": "509-963-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUCHENE",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC, AT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "A1 60298159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Marie Bazan, PHARMD
• Ryan Joseph Beachy, PA-C
• Hope Michelle Pike Beam, APRN
• Taryn Beard, PSYD
• Chad Allen Bearup, RN
• Sheril Bechard
• Teresa M Beckett, ARNP, PA-C
• Kelly Behne, PA-C
• Cheyenne Nicole Belanger, MSW
• Bailey Michelle Bellamy

• Community Health Worker in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.