Bevhion Beatrix Boudica, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

270276 Issued in AZ

Practice address

2323 E Greenlaw LN Ste 7B
Flagstaff, AZ 86004-1849

Phone

(928) 863-6673

Fax

(928) 222-2285

NPI assigned

Jan 29, 2020

Last updated

Jun 16, 2023By 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 1

Addresses

Other names 1

• Jessica Renee Beasley Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bevhion.boudica.p1@direct.tgcaz.nextgenshare.com

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.

• Guidance Center Inc

  dba The Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Flagstaff, AZ
  • NPI 1679563290
  Medicare reassignment NPD
• Bevhion Boudica Family Healthcare, PLLC

  • Primary Care Clinic/Center
  • Flagstaff, AZ
  • NPI 1912647405
  Authorized official Same address or phone
• Guidance Center Inc

  dba The Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Williams, AZ
  • NPI 1316014459
  NPD
• Swinomish Health Services

  dba Swinomish Wellness Program

  • Substance Abuse Rehabilitation Facility
  • Anacortes, WA
  • NPI 1710182787
  NPD

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1891326872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 7B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-863-6673",
            "fax_number": "928-222-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E GREENLAW LN STE 7B",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041849",
            "telephone_number": "928-863-6673",
            "fax_number": "928-222-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDICA",
        "first_name": "BEVHION",
        "middle_name": "BEATRIX",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "270276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BEASLEY",
            "middle_name": "RENEE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara L. Bosch, M.D.
• Erica Boswell, RDH
• Suzanne Andry Botello, PHD, LPC
• Torey Botti, M.D.
• Julie Anne Bouck, PT, DPT
• Wendy G Bourne, RN, CDE
• Vanessa Bowden-Runge
• Jana Bowditch, CNM
• Matthew Greigory Bowe, RN
• Emilie Laura Bowers, FNP

• Family Nurse Practitioner in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.