Elaine Beaudoin Owen, APRN,AOCN,MSN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

101.0012633 Issued in VT

Practice address

130 Fisher Rd
Mob-B Suite 3
Berlin, VT 05602-9516

Phone

(802) 225-5400

Fax

(802) 225-5401

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Interoperability endpoints

• Direct secure messaging: eowen236440@direct.uvmhealth.org

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1609972306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "address_2": "CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410547",
            "telephone_number": "802-225-5400",
            "fax_number": "802-225-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 FISHER RD",
            "address_2": "MOB-B SUITE 3",
            "city": "BERLIN",
            "state": "VT",
            "postal_code": "056029516",
            "telephone_number": "802-225-5400",
            "fax_number": "802-225-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "ELAINE",
        "middle_name": "BEAUDOIN",
        "name_prefix": "Ms.",
        "credential": "APRN,AOCN,MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "12633",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "1010012633",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VT",
            "license": "101.0012633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ONS2011",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Anne O'Mara, M.D.
• Jessica E O'Neil, D.O.
• Jessica Leigh Olive, PT
• Optical Expressions, Inc.
• David Ospina, MD
• Cathy Palmer, M.D.
• Christine E Parker, LICSW
• Benjamin P Parkhurst, MD
• Lucy Ann Patti, MD
• Arliene M Pearson, DDS

• Adult Health Clinical Nurse Specialist in Berlin, VT
• Providers in Berlin, VT by specialty
• Adult Health Clinical Nurse Specialist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.