Active NPI
Vera Catherine Beaton
- Registered Nurse
- Baldwinsville, NY
National Provider Identifier
1871980409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 490244-1
- Practice address
- 8855 Center Pointe Dr
Baldwinsville, NY 13027-1421 - Phone
- (315) 766-6729
- NPI assigned
- Apr 21, 2015
- Last updated
- Apr 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 490244-1 | NY | Primary |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 490244-1 | NY | |
| Administrator Registered Nurse | 163WA2000X | 490244-1 | NY | |
| Case Management Registered Nurse | 163WC0400X | 490244-1 | NY | |
| Medical-Surgical Registered Nurse | 163WM0705X | 490244-1 | NY | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 490244-1 | NY | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 490244-1 | NY |
Addresses
Primary practice location
8855 Center Pointe Dr
Baldwinsville, NY 13027-1421
Mailing address
4193 Canal Rd
Madison, NY 13402-1507
Phone (315) 893-9996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 490244-1 | NY | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429574400000",
"number": "1871980409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4193 CANAL RD",
"city": "MADISON",
"state": "NY",
"postal_code": "134021507",
"telephone_number": "315-893-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8855 CENTER POINTE DR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130271421",
"telephone_number": "315-766-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATON",
"first_name": "VERA",
"middle_name": "CATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2015-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "490244-1",
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "490244-1",
"primary": false
},
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NY",
"license": "490244-1",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "NY",
"license": "490244-1",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "NY",
"license": "490244-1",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NY",
"license": "490244-1",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "490244-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baldwinsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.