Shannah Beaudin, B.A.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1111 S Orchard St Ste 110
Boise, ID 83705-1961

Phone

(208) 919-4692

NPI assigned

Jun 11, 2026

Sex

Female

Sole proprietor

No

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, last updated by the provider on Jun 11, 2026.

{
    "created_epoch": "1781136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1497689558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3194 S SIGNORELLO LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425064",
            "telephone_number": "208-869-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 S ORCHARD ST STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051961",
            "telephone_number": "208-919-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDIN",
        "first_name": "SHANNAH",
        "credential": "B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Johnson Beath, FNP-C
• Christie Jeanne Beattie, NP-C
• Brooke Lynn Beatty, LPC
• Hailey Beatty
• Helene Victoria Beauclaire, LCPC
• Kristin Beaufort, LMSW
• Cheryl L Beaumont, NP
• Craig W. Beaver, PH.D.
• Nickolas R Becar, PA-C
• Nathaniel Burns Bechtel, MK, LAT, ATC

• All providers in Boise, ID
• Case Manager/Care Coordinator in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.