Lisa A Beaudry, CNM
Individual provider Active NPI Advanced Practice Midwife · Ware, MA
NPI 1760629182 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1760629182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 150661 (MA)
- Practice address
- 83 South St
Ware, MA 01082-1660 - Phone
- (413) 967-2655
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150661 | MA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Affiliated Practice Organization | Advanced Practice Midwife | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 150661 | MA | Yes |
Addresses
Primary practice location
83 South St
Ware, MA 01082-1660
Mailing address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other providers in Ware, MA
- Dana Leigh Bartlett
- Kara Bassett
- Vilaire Bayard
- Baystate Mary Lane Hospital Corporation
- Baystate Medical Center, Inc.
- Denise Beaupre
- Brooke Bergeron
- Donna Bergeron
- Nicholle Blaine
- Gary Norman Blanchard
All providers in Ware, MA · Advanced Practice Midwife in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.