Denise Beachem

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

80 Union Ave
Staten Island, NY 10303-2426

Phone

(718) 813-5945

NPI assigned

Jul 26, 2022

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)

Not enrolled

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 and National Provider Directory roles.

• Coach Vera'S Slow & Steady Health Program

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1629723804
  NPD

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1881320455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAPLE PKWY # 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032464",
            "telephone_number": "347-631-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 UNION AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103032426",
            "telephone_number": "718-813-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEACHEM",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Bazan
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• Be a Better You, LLC
• Be Kind to Your Mind Mental Health Counseling, PLLC
• Beach Ny Physical Therapy of Staten Island PLLC
• Beacon Christian Community Health Center
• Beacon Christian Community Health Center Inc
• Beacon Christian Community Health Center Inc
• Beacon Christian Community Health Center, Inc.
• Beacon Physical Therapy PC

• Health & Wellness Coach in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Health & Wellness Coach in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.