Susann Beaulieu

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAS-P-1002441 Issued in OR

Practice address

2112 Broadway St
North Bend, OR 97459-2330

Phone

(541) 756-6337

Fax

(541) 751-9908

NPI assigned

Jun 15, 2007

Last updated

Jul 9, 2007By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beaulieu Hearing Center Inc.

  • Hearing Instrument Specialist
  • North Bend, OR
  • NPI 1003160094
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1891990321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592330",
            "telephone_number": "541-756-6337",
            "fax_number": "541-751-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BROADWAY ST",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974592330",
            "telephone_number": "541-756-6337",
            "fax_number": "541-751-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAULIEU",
        "first_name": "SUSANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-1002441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "298922",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beacon Health Care Solutions Incorporated (Broadway Pharmacy)
• Beacon Health Care Solutions Incorporated (Broadway Pharmacy)
• Tamara Beardsley
• Julie Ann Bearup Wyatt
• Beaulieu Hearing Center Inc.
• Carin Beesley, QMHA
• William A Bennett, DPM
• Julia Benson, M.A., CF-SLP
• David Francis Bertapelle, LCSW
• Carrie Jean Bettenhausen

• Hearing Instrument Specialist in North Bend, OR
• Providers in North Bend, OR by specialty
• Hearing Instrument Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.