Jenna R Beaulieu, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

9435789 Issued in FL

Practice address

2260 W Old US Highway 441 Ste 314
Mount Dora, FL 32757-3508

Phone

(321) 529-1933

NPI assigned

Mar 8, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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.

• Rejoice in Recovery LLC

  • Home Health Agency
  • Mount Dora, FL
  • NPI 1912592338
  NPD Authorized official
• Rejoice in Diversities Home Health, LLC

  • Home Health Agency
  • Ocklawaha, FL
  • NPI 1013599638
  NPD (past)

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1497340814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327560314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 W OLD US HIGHWAY 441 STE 314",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573508",
            "telephone_number": "321-529-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "JENNA",
        "middle_name": "R",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9435789",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9435789",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9435789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Bass
• Alisha Dawn Bateman
• Caroline Batson
• Jeffrey D Baumann, MD
• Nekkiia Beasley
• Amy Eller Beer, ACUPUNCTUREPHYSICIAN
• Robina W Belanger, FNP
• Eden Barbara Belgarde
• Bryan Belk
• Michael E Bell, DMD

• Registered Nurse in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.