Wilda B Beauvais, DR.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9435744 Issued in FL

Practice address

6453 Pembroke Rd
Hollywood, FL 33023-2137

Phone

(954) 559-4066

NPI assigned

Jun 14, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beauvais Health & Homecare Inc

  • Attendant Care Provider
  • Pembroke Pines, FL
  • NPI 1598520157

  Home Health

  NPD Authorized official
• Beauvais Health & Homecare Inc

  • Home Health Clinical Nurse Specialist
  • Pembroke Pines, FL
  • NPI 1689462665
  NPD Authorized official
• Beauvais Homecare Services 1 Inc

  • Attendant Care Provider
  • Sunny Isles Beach, FL
  • NPI 1013742774
  NPD (past) Authorized official
• Beauvais Homecare Services 1 Inc

  • Attendant Care Provider
  • Wellington, FL
  • NPI 1033944319
  NPD (past) Authorized official

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1497315121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6453 PEMBROKE RD FL 33025",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232137",
            "telephone_number": "954-859-6294",
            "fax_number": "954-859-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6453 PEMBROKE RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330232137",
            "telephone_number": "954-559-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9811 SW 13th Ct",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330253601",
            "country_code": "US",
            "telephone_number": "954-559-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9811 SW 13th Ct",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330253601",
            "country_code": "US",
            "telephone_number": "954-559-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUVAIS",
        "first_name": "WILDA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9435744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83-1548904",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HOLLYWOOD",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HOLLYWOOD",
            "address_1": "6453 Pembroke Rd",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330232137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Didier Beauboeuf
• Jeanne Beaufort, MD
• Sofiya Beaufort, PA-C
• Beauty Vault Lux LLC.
• Beauvais Medical Equipment Inc
• Julianne Becker, M.A., CF-SLP
• Amanda Beckert
• Brian R. Becraft, PSY.D.
• Maria Paula Bedoya, LMHC
• Bee Well Home Health Care, Inc

• Home Health Registered Nurse in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.