Individual provider Active NPI

Alison Beaulieu, DVM

  • Special Hospital
  • Johnson City, NY
National Provider Identifier
1619412822
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
009398 Issued in NY
Practice address
716 Harry L Dr
Johnson City, NY 13790-1119
Phone
(607) 217-5202
Fax
(607) 238-1751
NPI assigned
Dec 23, 2016
Last updated
Dec 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 009398 NY Primary

Addresses

Primary practice location

716 Harry L Dr
Johnson City, NY 13790-1119

Mailing address

716 Harry L Dr
Johnson City, NY 13790-1119
Phone (607) 217-5202

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

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1619412822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901119",
            "telephone_number": "607-217-5202",
            "fax_number": "607-238-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 HARRY L DR",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901119",
            "telephone_number": "607-217-5202",
            "fax_number": "607-238-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "ALISON",
        "credential": "DVM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NY",
            "license": "009398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.