Individual provider Active NPI

Petrina J Beugre, REGISTERED NURSE

  • Administrator Registered Nurse
  • Boynton Beach, FL
National Provider Identifier
1760007991
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
95025930 Issued in CA
Practice address
1110 Audace Ave,
Unit NBR 303
Boynton Beach, FL 33426-3342
Phone
(800) 341-0119
Fax
(561) 423-2392
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Informatics Clinical Nurse Specialist 364SI0800X 9563107 FL
Administrator Registered Nurse 163WA2000X 95025930 CA Primary

Addresses

Primary practice location

1110 Audace Ave,
Unit NBR 303
Boynton Beach, FL 33426-3342

Mailing address

1110 Audace Ave Apt 303
Boynton Beach, FL 33426-3500
Phone (800) 341-0119

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
95025930CAMDFamily Nurse Practitioner
9563107FLMDInformatics Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Care Circle, LLC CurrentSince Aug 1, 2018 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1760007991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 AUDACE AVE APT 303",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263500",
            "telephone_number": "800-341-0119",
            "fax_number": "925-237-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 AUDACE AVE,",
            "address_2": "UNIT NBR 303",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263342",
            "telephone_number": "800-341-0119",
            "fax_number": "561-423-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEUGRE",
        "first_name": "PETRINA",
        "middle_name": "J",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SI0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Informatics",
            "state": "FL",
            "license": "9563107",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "95025930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.