Active NPI
Marie Marthe Beauvais
- Home Health Aide
- Berwick, PA
National Provider Identifier
1720322142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- PN277004
- Practice address
- 400 Lasalle St
Berwick, PA 18603-2912 - Phone
- (570) 317-8923
- NPI assigned
- Nov 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | PN277004 | PA | Primary |
Addresses
Primary practice location
400 Lasalle St
Berwick, PA 18603-2912
Mailing address
400
Lasalle Street
Berwick, PA 18603
UM
Phone (570) 317-8923
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
| License | State | Type | Specialty |
|---|---|---|---|
| PN277004 | PA | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1720322142",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "400",
"address_2": "LASALLE STREET",
"city": "BERWICK",
"state": "PA",
"postal_code": "18603",
"telephone_number": "570-317-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 LASALLE ST",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032912",
"telephone_number": "570-317-8923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUVAIS",
"first_name": "MARIE",
"middle_name": "MARTHE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "PA",
"license": "PN277004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.