BROOKLYN BEAUPRE (NPI# 1336541259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336541259 |
| Entity Type | Individual |
| Full Name | BROOKLYN BEAUPRE |
| Credential | AG-ACNP |
| Practice Address |
408 N State of Franklin Rd Suite 24 Johnson City TN 37604-6089 |
| Practice Telephone | 4234311810 |
| Practice Fax Number | 4234311811 |
| Mailing Telephone | 4234311810 |
| Mailing Fax Number | 4234311811 |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2017-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
19186 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100327340 | 05 | |
| VA | 1336541259 | 05 | |
| NC | 1336541259 | 05 | |
| TN | Q009458 | 05 |
| Street Address |
408 N STATE OF FRANKLIN RD SUITE 24 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710981105 | Thomas R. Borthwick | Internal Medicine | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2005-06-13 |
| 1013364785 | Jill Hughes | Nurse Practitioner | 408 N State of Franklin Rd, Suite 12, Johnson City, TN 37604-6089 | 2016-05-23 |
| 1245685858 | Blue Ridge Medical Management Corporaiton | Internal Medicine | 408 N State of Franklin Rd, Ste 12, Johnson City, TN 37604-6089 | 2016-05-02 |
| 1619349578 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31e, Johnson City, TN 37604-6089 | 2015-10-30 |
| 1679949572 | Julie Ann Reed | Nurse Practitioner | 408 N State of Franklin Rd, Suite 24, Johnson City, TN 37604-6089 | 2015-08-13 |
| 1962883678 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 | 2015-06-18 |
| 1811378854 | Blue Ridge Medical Management Corporation | Pediatrics | 408 N State of Franklin Rd, Suite 31d, Johnson City, TN 37604-6089 | 2015-06-16 |
| 1134500218 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31c, Johnson City, TN 37604-6089 | 2015-06-15 |
| 1063823185 | Alexis Hodge Duty | Nurse Practitioner | 408 N State of Franklin Rd, Suite 31b, Johnson City, TN 37604-6089 | 2014-05-12 |
| 1316357593 | Blue Ridge Medical Management Corporation | Family Medicine | 408 N State of Franklin Rd, Suite 24 A, Johnson City, TN 37604-6089 | 2014-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245890631 | Beth Crouch | Nurse Practitioner | 110 W Springbrook Dr Ste A, Johnson City, TN 37604-1701 | 2019-06-18 |
| 1346632783 | Jamie E Carnell | Nurse Practitioner | 1 Profressional Park Drive Suite 1, Johnson City, TN 37604 | 2015-02-23 |
| 1811499205 | Summer Rae Culbert | Nurse Practitioner | 410 N State of Franklin Rd Ste 135, Johnson City, TN 37604-6972 | 2018-03-01 |
| 1750771770 | Ashley Skelton | Nurse Practitioner | 2340 Knob Creek Rd, Suite 720, Johnson City, TN 37604 | 2015-01-28 |
| 1457790719 | Gina Smith Mcneer | Nurse Practitioner | 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 | 2013-06-20 |
| 1275602690 | Sherri Gayle White | Nurse Practitioner | 311 Princeton Rd, Suite 7, Johnson City, TN 37601-2026 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1063034429 | Jared Garrison | Nurse Practitioner | 700 Harbor Edge Dr Apt 102, Memphis, TN 38103-5840 | 2020-05-08 |
| 1548893472 | Caroline Kelly Pigford | Nurse Practitioner | 5737 Sarah Dr, Ooltewah, TN 37363-6465 | 2020-02-19 |
| 1447883343 | Jennifer Leigh Slater | Nurse Practitioner | 109 Williamsburg Blvd, Tullahoma, TN 37388-5412 | 2020-02-19 |
| 1811529118 | Michelle Filomena Grise | Nurse Practitioner | 1466 Tiny Town Rd, Clarksville, TN 37042-8291 | 2020-02-05 |
| 1902445935 | Brad Harrell, Dnp LLC | Nurse Practitioner | 233 Lackey Ln, Ripley, TN 38063-1619 | 2019-12-20 |
| 1861039612 | Teresa Hea Brown | Nurse Practitioner | 180 Melodie Cir, Henderson, TN 38340-3628 | 2019-11-27 |
| 1962044883 | Seph Kestner | Nurse Practitioner | 1215 21st Ave S Fl Mce5, Nashville, TN 37232-0014 | 2019-10-11 |
| 1003457409 | Leven Ward | Nurse Practitioner | 250 Hartfield Dr, Medina, TN 38355-8941 | 2019-10-07 |
| 1619527124 | Amelia Hoyt Laws | Nurse Practitioner | Vanderbilt University Medical Center 1211, Nashville, TN 37232-0001 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on BROOKLYN BEAUPRE.
| 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.