Whitney Beaton, MSN, APNP, ACCNS-P

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

7614-33 Issued in WI

Practice address

1675 Highland Ave RM P7125
Madison, WI 53792-0002

Phone

(620) 290-2136

NPI assigned

Sep 1, 2021

Last updated

Sep 1, 2021By 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 2

Addresses

Other names 1

• Whitney Nikole Blau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1972271278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SKYLARK LN",
            "city": "DEFOREST",
            "state": "WI",
            "postal_code": "535322922",
            "telephone_number": "620-290-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 HIGHLAND AVE RM P7125",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920002",
            "telephone_number": "620-290-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATON",
        "first_name": "WHITNEY",
        "credential": "MSN, APNP, ACCNS-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "WI",
            "license": "7614-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "229951",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "BLAU",
            "middle_name": "NIKOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly L. Bean, LCSW, CADC
• Stacey Bean, M.D.
• Teresa M Bear, PH.D.
• Brian Beardsley, PA-C
• Nastassja Lacy Beaton, NP
• Peter A Beatty, MD
• Robin R Beatty, DC
• Jacqueline Beaudet, D.C.
• Alexandra Nicole Beaudry, LPC-IT
• Janet R Beaver, MD

• Pediatric Clinical Nurse Specialist in Madison, WI
• Providers in Madison, WI by specialty
• Pediatric Clinical Nurse Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.