Active NPI
Catherine Melissa Beaudreau, N.P.
- Family Nurse Practitioner
- St Thomas, VI
National Provider Identifier
1922410059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP12528
- Practice address
- 6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306 - Phone
- (340) 775-2303
- Fax
- (340) 779-2077
- NPI assigned
- May 23, 2014
- Last updated
- May 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP12528 | VI | Primary |
Addresses
Primary practice location
6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306
Mailing address
6500 Red Hook PLZ
Suite 205
St Thomas, VI 00802-1306
Phone (340) 775-2303
Other names 1
- Cathy Beaudreau
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400803200000",
"number": "1922410059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 RED HOOK PLZ",
"address_2": "SUITE 205",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021306",
"telephone_number": "340-775-2303",
"fax_number": "340-779-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 RED HOOK PLZ",
"address_2": "SUITE 205",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "008021306",
"telephone_number": "340-775-2303",
"fax_number": "340-779-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAUDREAU",
"first_name": "CATHERINE",
"middle_name": "MELISSA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2014-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VI",
"license": "AP12528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHY",
"last_name": "BEAUDREAU",
"credential": "N.P.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Thomas, VI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.