Lequita Beaton, M.S. ,ATC
Individual provider Active NPI Athletic Trainer · Pemberton, NJ
NPI 1497968085 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497968085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 25MT00132200 (NJ)
- Practice address
- 601 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1536 - Phone
- (609) 894-9311
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00132200 | NJ | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 25MT00132200 | NJ | Yes |
Addresses
Primary practice location
601 Pemberton Browns Mills Rd
Pemberton, NJ 08068-1536
Mailing address
78 Catherine Dr
Franklinville, NJ 08322-2764
Other providers in Pemberton, NJ
- Amanda Ammerman
- Phyllis Glenn Anderson
- Aspen Hills Healthcare Center LLC
- Aspen Hills Healthcare Center LLC
- Aspired Living, Inc
- Lesly Bedoya
- Jordan Bell
- Letecia Bennett
- Erin Blaszczyk
- Tatiana Bowling
All providers in Pemberton, NJ · Athletic Trainer in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.