Nicole Beatty, CENA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

230004592291299 Issued in MI

Practice address

12851 Lahser Rd Apt 1
Detroit, MI 48223-3267

Phone

(313) 742-9767

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1861098477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12851 LAHSER RD APT 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233267",
            "telephone_number": "313-742-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 LAHSER RD APT 1",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482233267",
            "telephone_number": "313-742-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "NICOLE",
        "credential": "CENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "230004592291299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "WILLIAMS",
            "credential": "CENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christopher Scott Beaten, C.S.W.
• Kathryn Beathard
• Stephanie Beaton, LLMSW
• Daryl Ramone Beatty
• Karen C Beatty, NURSE PRACTITIONER
• Elexus Beauchamp
• Erin Elizabeth Beaudoin
• Linda Ann Beauregard
• Beauty of Homes LLC
• Kristin Suzanne Beauvais, OTRL

• Nurse's Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Nurse's Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.