Heather Lee Beaudry, APRN, CDCES

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

071544-23 Issued in NH

Practice address

133 Pleasant St
Berlin, NH 03570-2006

Phone

(603) 752-2040

Fax

(603) 752-7797

NPI assigned

Sep 21, 2020

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Heather Lee Guay Former name

Medicare fee-for-service enrollment

Enrolled in NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coos County Family Health Services IncGroup PAC ID 8628970480, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Country Home Health & Hospice Agency Home health agency, Littleton, NH, CCN 307009
• Androscoggin Valley Hospital Hospital, Berlin, NH, CCN 301310

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Berlin, NH
  • NPI 1346242054
  Medicare reassignment Care Compare group NPD
• Coos County Family Health Services, Inc

  dba Coos County Family Health - Colebrook Site

  • Federally Qualified Health Center (FQHC)
  • Colebrook, NH
  • NPI 1659163434
  NPD
• Coos County Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Berlin, NH
  • NPI 1427050012

  Family

  NPD
• Coos County Family Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Gorham, NH
  • NPI 1275535999

  Family

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Androscoggin Valley Hospital Inc

  dba AVH Surgical Associates

  • General Practice Physician
  • Berlin, NH
  • NPI 1679526644

  Hospital

  Care Compare affiliation
• Androscoggin Valley Hospital, Inc.

  • Critical Access Hospital
  • Berlin, NH
  • NPI 1386680593
  Care Compare affiliation
• North Country Home Health & Hospice Agency, Inc.

  • Home Health Agency
  • Littleton, NH
  • NPI 1275536575
  Care Compare affiliation

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1770199150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702006",
            "telephone_number": "603-752-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PLEASANT ST",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035702006",
            "telephone_number": "603-752-2040",
            "fax_number": "603-752-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDRY",
        "first_name": "HEATHER",
        "middle_name": "LEE",
        "credential": "APRN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NH",
            "license": "071544-21",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NH",
            "license": "748648",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "071544-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "071544-21",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "071544-23",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "GUAY",
            "middle_name": "LEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Androscoggin Valley Hospital, Inc.
• Androscoggin Valley Hospital, Inc.
• Androscoggin Valley Hospital, Inc. (Androscoggin Valley HH&H)
• Jennifer Joyce Bacon, WAIVER
• Jaimie Lynn Baillargeon, WAIVER
• Jesse Rye Beaudry, PHARM.D.
• Lynn Marie Beede
• Angie L Belouin, WAIVER
• Sandra Benckendorf
• Cody James Benjamin, WAIVER

• Family Nurse Practitioner in Berlin, NH
• Providers in Berlin, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.