Individual provider Active NPI

Janice L Beaudin, RND

  • Registered Nurse
  • Bellingham, WA
National Provider Identifier
1730504606
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
00067379 Issued in WA
Practice address
1417 Roy Rd.
Bellingham, WA 98229
Phone
(360) 961-1726
Fax
(866) 854-9740
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 00067379 WA Primary

Addresses

Primary practice location

1417 Roy Rd.
Bellingham, WA 98229

Mailing address

1417 Roy Rd
Bellingham, WA 98229
Phone (360) 961-1726

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
00067379WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1730504606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 ROY RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-961-1726",
            "fax_number": "866-854-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 ROY RD.",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98229",
            "telephone_number": "360-961-1726",
            "fax_number": "866-854-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDIN",
        "first_name": "JANICE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "00067379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.