Individual provider Active NPI

Antonine Beauvais

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1508634429
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
347557 Issued in NY
Practice address
295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001
Phone
(718) 522-1144
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 347557 NY Primary

Addresses

Primary practice location

295 Flatbush Avenue Ext FL 3
Brooklyn, NY 11201-3001

Mailing address

89 Bartlett St
Brooklyn, NY 11206-4463

Other practice location 1

89 Bartlett St
Brooklyn, NY 11206-4463
Phone (718) 828-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
347557NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1508634429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BARTLETT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FLATBUSH AVENUE EXT FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013001",
            "telephone_number": "718-522-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Bartlett St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064463",
            "country_code": "US",
            "telephone_number": "718-828-2666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAUVAIS",
        "first_name": "ANTONINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "347557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.