David W. Beaudry, PHD

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

06874 Issued in NY

Practice address

855 Van Wagner Rd
Poughkeepsie, NY 12601-6505

Phone

(845) 485-7990

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639222474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 VAN WAGNER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016505",
            "telephone_number": "845-485-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 VAN WAGNER RD",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126016505",
            "telephone_number": "845-485-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "DAVID",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "06874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raechel Bayuzick, PA-C
• Liliana Bazalar, B.A.
• Elise Beal
• Christine Bealer
• John Roy Beaman, LMSW
• Susan Beaudry, M.S.
• Maya Beck
• Chhanda Beckford, CRNA
• Christopher Bedard
• Heather Greer Belding-Wilson, R.D., D.D.N

• Health Maintenance Organization in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.