DANIELLE L BEAULIEU (NPI# 1306810924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306810924 |
| Entity Type | Individual |
| Full Name | DANIELLE L BEAULIEU |
| Credential | NP |
| Practice Address |
100 Wason Ave Ste 120 Springfield MA 01107 |
| Mailing Address |
100 Wason Ave Ste 120 Springfield MA 01107-1179 |
| Practice Telephone | 4132412100 |
| Practice Fax Number | 4137351986 |
| Mailing Telephone | 4132412100 |
| Mailing Fax Number | 4137351986 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 6759 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 204880 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
6759 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
204880 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Main Street, Suite 201, Springfield, MA 01199 | 4137840900 | 4137942996 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578927463 | Danielle R Beaulieu | Massage Therapist | 83 India St, Portland, ME 04101-4210 | 2016-04-07 |
| 1407083637 | Danielle Beaulieu | Case Manager/Care Coordinator | 68 Allison Ave, Taunton, MA 02780-6958 | 2009-06-15 |
| Street Address |
100 WASON AVE STE 120 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108001 | Chelsea Marie Daniele | Nurse Practitioner | 100 Wason Ave Ste 120, Springfield, MA 01107-1179 | 2020-09-14 |
| 1235772922 | Sharon Renee Brown | Nurse Practitioner | 100 Wason Ave Ste 120, Springfield, MA 01107-1179 | 2019-10-24 |
| 1649813429 | Dorothy R Carvalho | Registered Nurse | 100 Wason Ave Ste 120, Springfield, MA 01107-1179 | 2019-10-23 |
| 1649737636 | Joseph Provost | Physician Assistant | 100 Wason Ave Ste 120, Springfield, MA 01107 | 2019-02-26 |
| 1427491919 | Michael E Zavaski | Surgery | 100 Wason Ave Ste 120, Springfield, MA 01107 | 2013-04-15 |
| 1245426253 | Mariangela Merced | Physician Assistant | 100 Wason Ave Ste 120, Springfield, MA 01107-1179 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565989 | Melanie Phillips | Nurse Practitioner | 140 W Main St Ste 100, Springfield, OH 45502-1369 | 2020-07-10 |
| 1649828120 | Dareth Elizabeth Fowler | Nurse Practitioner | 709 Deerfield Trl, Springfield, OH 45503-7445 | 2019-08-28 |
| 1578824983 | Daisy Seby | Nurse Practitioner | 86 Redwood Rd, Springfield, NJ 07081-2426 | 2012-06-01 |
| 1760741714 | Mini Jijo | Nurse Practitioner | 884 South Springfield Ave, #39, Springfield, NJ 07081-3314 | 2012-05-11 |
| 1326218843 | Laura Ann Reed | Nurse Practitioner | 30 W Mccreight Ave Ste 100, Springfield, OH 45504 | 2008-03-12 |
| 1669442182 | Lisa Erickson | Nurse Practitioner | 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 | 2006-01-26 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1902411424 | Samantha Gillespie | Nurse Practitioner | 1460 G St, Springfield, OR 97477-4112 | 2020-09-11 |
| 1649898065 | Jaines Milagros Andrades | Nurse Practitioner | 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 | 2020-07-13 |
| 1487288171 | Pamela Lomeli | Nurse Practitioner | 319 E Madison St Ste 1f, Springfield, IL 62701-3118 | 2020-03-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on DANIELLE L BEAULIEU.
| 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.