Tannis Beaudet, MSN, APRN, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Atlantic Beach, FL
NPI 1962279810 · NPPES record last updated Apr 12, 2026
Key facts
- NPI
- 1962279810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN11030086 (FL)
- Practice address
- 1746 Ocean Grove Dr
Atlantic Beach, FL 32233-5845 - Phone
- (904) 343-0660
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11030086 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11030086 | FL | Yes |
Addresses
Primary practice location
1746 Ocean Grove Dr
Atlantic Beach, FL 32233-5845
Mailing address
1746 Ocean Grove Dr
Atlantic Beach, FL 32233-5845
Phone (904) 343-0660
Other practice location 1
3185 Highway 17
Green Cove Springs, FL 32043-9371
Phone (904) 284-4222
Other providers in Atlantic Beach, FL
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Robin M Barlow
- D'Angela Bass
- Ashley Baughman
- Ashton Berry
- Brian Blaustein
- Bloom Behavioral Solutions
- Bloom Behavioral Solutions, Inc.
- Lisabeth Boudreaux
All providers in Atlantic Beach, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.