Individual provider Active NPI

Deborah Vance Beaumont, APRN

  • Adult Health Clinical Nurse Specialist
  • Kailua Kona, HI
National Provider Identifier
1750836193
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
2154 Issued in HI
Practice address
75-5995 Kuakini Hwy Ste 445
Kailua Kona, HI 96740-2123
Phone
(808) 315-8466
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 2154 HI Primary
Adult Health Clinical Nurse Specialist 364SA2200X 4427 CA

Addresses

Primary practice location

75-5995 Kuakini Hwy Ste 445
Kailua Kona, HI 96740-2123

Mailing address

75-5995 Kuakini Hwy Ste 445
Kailua Kona, HI 96740-2123
Phone (808) 315-8466

Other names 1

  • Deborah Vance Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4427CAMDAdult Health Clinical Nurse Specialist
2154HIMDAdult Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1750836193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY STE 445",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402123",
            "telephone_number": "808-315-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5995 KUAKINI HWY STE 445",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402123",
            "telephone_number": "808-315-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE BEAUMONT",
        "first_name": "DEBORAH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "HI",
            "license": "2154",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CA",
            "license": "4427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "VANCE",
            "credential": "CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.