Haley Beaudet, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016574 Issued in CA

Practice address

1704 W Manchester Ave Ste 109
Los Angeles, CA 90047-3056

Phone

(323) 778-8485

NPI assigned

Feb 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1770174609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 W 3RD ST APT 328",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201639",
            "telephone_number": "530-739-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE STE 109",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473056",
            "telephone_number": "323-778-8485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDET",
        "first_name": "HALEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Beatson, MD
• Grace Dorothy Beattie, LCSW
• Lexis Beaty
• Nicole Cristina Beaubien, M.S.W., M.A.
• Kate Michelle Beauchene, LPC, LPCC, LMHC
• Catherine Shuqi Xu Beaudin
• Shaun A Beaudoin, PT
• Rosanna Lola Beaumont
• Shanice Marie Beaumont
• Jeffrey Beaumonte

• Family Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.