Individual provider Active NPI

Catherine Melissa Beaudreau, N.P.

  • Family Nurse Practitioner
  • St Thomas, VI
National Provider Identifier
1922410059
Registry record updated May 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP12528 Issued in VI
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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.

Verify at the official NPI Registry.