GERARD ROBERT BEAUDRY (NPI# 1104253434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104253434 |
| Entity Type | Individual |
| Full Name | GERARD ROBERT BEAUDRY |
| Credential | MSN, ACNP |
| Practice Address |
160 Allen St Rutland VT 05701-4560 |
| Practice Telephone | 8027757111 |
| Practice Fax Number | 8027476207 |
| Mailing Telephone | 8027757111 |
| Mailing Fax Number | 8027476207 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
101.0118274 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
063188-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
160 ALLEN ST |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083650 | Melbourne Duncan Boynton | Specialist | 160 Allen St, Rutland, VT 05701-4560 | 2005-09-19 |
| 1992305395 | Katie Parker | Registered Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2020-10-27 |
| 1194334847 | Michelle Hoffman | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2020-07-29 |
| 1164047981 | Catherine Yakunovich | Social Worker | 160 Allen St, Rutland, VT 05701-4560 | 2020-06-09 |
| 1518512193 | Michele Denise Pilz | Counselor | 160 Allen St, Rutland, VT 05701-4560 | 2019-08-09 |
| 1346703360 | Danielle M Robillard | Nurse Practitioner | 160 Allen St, Rutland, VT 05701-4560 | 2019-04-08 |
| 1750895827 | Kathleen O'hara | Speech-Language Pathologist | 160 Allen St, Rutland, VT 05701-4560 | 2017-11-27 |
| 1568982353 | Jeffrey Spencer | Physician Assistant | 160 Allen St, Rutland, VT 05701 | 2017-06-22 |
| 1518492560 | Emily Feinberg | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-27 |
| 1972038305 | Ella Obrosky | Nurse Anesthetist, Certified Registered | 160 Allen St, Rutland, VT 05701-4560 | 2017-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356890636 | Ruth Anne Neborsky | Nurse Practitioner | 2364 Victory Hl, Victory, VT 05858-7042 | 2016-09-27 |
| 1003026667 | Maureen Louise Dwyer | Nurse Practitioner | Mcclure 5 Fletcherallen Healthcare, 111colchester Ave, Burlington, VT 05401-1429 | 2007-05-23 |
| 1679052781 | Erica Charkalis | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2018-08-09 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1700273133 | Laurie Kuralt | Nurse Practitioner | 17 Belmont Ave, Brattleboro, VT 05301-7601 | 2015-04-23 |
| 1326485954 | Stefanie Ann Mcgowan | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2013-05-22 |
| 1326398546 | Lorelei Barton Camp | Nurse Practitioner | 111 Colchester Ave, Fletcher 461, Burlington, VT 05401-1473 | 2012-09-14 |
| 1437457249 | Michael Moss | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2011-03-02 |
| 1821170408 | Karen Graves Farrell | Nurse Practitioner | 111 Colchester Ave, Mclure 1 Cardiology, Burlington, VT 05401-1473 | 2006-10-20 |
| 1346253770 | Elizabeth Royden Carney | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-08-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.