ANGELA DENISE BEAUCHAMP (NPI# 1275053514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275053514 |
| Entity Type | Individual |
| Full Name | ANGELA DENISE BEAUCHAMP |
| Other Name | ANGELA DENISE VAIL, FREEBORN |
| Credential | PA |
| Practice Address |
1402 S Grand Blvd Spokane WA 99203-5001 |
| Mailing Address |
Po Box 421 Liberty Lake WA 99019-0421 |
| Practice Telephone | 5094558220 |
| Practice Fax Number | 5094559172 |
| Mailing Telephone | 8667472455 |
| Mailing Fax Number | 5092277070 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | PA60769549 | WA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | PA60769549 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265815385 | Angela Beauchamp | Nurse Practitioner | 1000 Galloping Hill Rd, Suite 103, Union, NJ 07083 | 2015-07-07 |
| Street Address |
1402 S GRAND BLVD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99203-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396253910 | Grand Pediatrics, P.s. | Pediatrics | 1402 S Grand Blvd, Spokane, WA 99203-5001 | 2018-01-17 |
| 1871034918 | Holly Cannard | Counselor | 1402 S Grand Blvd, Spokane, WA 99203-5001 | 2017-03-08 |
| 1538619218 | Janine Dean | Marriage & Family Therapist | 1402 S Grand Blvd, Suite 201, Spokane, WA 99203-5001 | 2016-10-06 |
| 1437607553 | Laurel Counseling Services L.L.C. | Community/Behavioral Health | 1402 S Grand Blvd, 201, Spokane, WA 99203-5001 | 2016-09-18 |
| 1902179583 | Teresa Jill Kincaid | Community/Behavioral Health | 1402 S Grand Blvd, Spokane, WA 99203-5001 | 2012-02-13 |
| 1740301498 | Joseph P. Kincaid, M.d. | Pediatrics | 1402 S Grand Blvd, Spokane, WA 99203-2247 | 2007-04-02 |
| 1417057241 | Gale Elizabeth Taylor | Nurse Practitioner | 1402 S Grand Blvd, Spokane, WA 99203-2247 | 2006-09-22 |
| 1043310865 | Joseph Paul Kincaid | Pediatrics | 1402 S Grand Blvd, Spokane, WA 99203-2247 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164992541 | Ashley Thunder Hawk | Massage Therapist | 1001 W 25th Ave # 2, Spokane, WA 99203 | 2018-11-28 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1356731988 | Rebekah Elizabeth Alice | Midwife | 417 E 28th Ave, Spokane, WA 99203 | 2015-02-03 |
| 1295155455 | Jordan Diamond | Dentist | 2204 E 29th Ave Ste 104, Spokane, WA 99203 | 2014-04-25 |
| 1952687386 | Providence Phsyician Services | Family Medicine | 1919 S. Grand Blvd., Spokane, WA 99203 | 2011-10-31 |
| 1033411103 | Patricia Mary Bedalov | Speech-Language Pathologist | 1017 W. 26th Ave., Spokane, WA 99203 | 2010-11-23 |
| 1841591310 | Travis Craig Romney | Chiropractor | 1403 S Grand Blvd., Suite 101s, Spokane, WA 99203 | 2010-11-15 |
| 1942518154 | South Hill Pediatric Dentistry | Dentist | 2020 E 29th Avenue, 130, Spokane, WA 99203 | 2010-09-22 |
| 1942512421 | Judy Lynn Budrow | Massage Therapist | 1805 E. 36th, Spokane, WA 99203 | 2010-07-13 |
| 1871741843 | Elisabeth Carroll Bagby | Massage Therapist | 132 W. 32nd Ave., Spokane, WA 99203 | 2008-09-03 |
| Find all providers in zip 99203 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1295189066 | Thomas D Eskelsen | Physician Assistant | 910 W 5th Ave Ste 801, Spokane, WA 99204-2974 | 2016-04-19 |
| 1063818789 | Jeffrey Jason Hershey | Physician Assistant | 6022 N Vista Ridge Ln, Spokane, WA 99217-5503 | 2014-11-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1891116216 | Heather Stout | Physician Assistant | 605 E Holland Ave Ste 101, Spokane, WA 99218-1246 | 2014-01-02 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1700218534 | Terry Anne Noyes | Physician Assistant | 528 E Spokane Falls Blvd Ste 502, Spokane, WA 99202 | 2013-08-03 |
| 1710237003 | Amber N Wilson | Physician Assistant | 1422 E Grassland Ct, Spokane, WA 99217-8700 | 2012-09-13 |
| 1669747275 | Tiffany Lynn Forquer | Physician Assistant | 601 West Fifth Avenue, Suite 400, Spokane, WA 99204-2457 | 2012-03-14 |
| 1235420498 | Lauren Patton | Physician Assistant | 9027 N Indian Trail Rd, Spokane, WA 99208-9116 | 2011-04-22 |
| Find all providers in SPOKANE | ||||
Please comment or provide details below to improve the information on ANGELA DENISE BEAUCHAMP.
| 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.