MELISSA BEAUDRY (NPI# 1598150914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598150914 |
| Entity Type | Individual |
| Full Name | MELISSA BEAUDRY |
| Other Name | MELISSA MCCUE |
| Practice Address |
130 Fisher Rd Mob-b Suite 3 Berlin VT 05602 |
| Mailing Address |
Po Box 547 Cvmc Finance Dept Barre VT 05641-0547 |
| Practice Telephone | 8022255660 |
| Practice Fax Number | 8022299533 |
| Mailing Telephone | 8022255660 |
| Mailing Fax Number | 8022299533 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
101.0109770 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
130 FISHER RD MOB-B SUITE 3 |
| City | BERLIN |
| State | VT |
| Zip Code | 05602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
| 1902219694 | Conor Smith Carpenter | Psychiatry & Neurology | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550116 | Karen Gibbs | Nurse Practitioner | 142 Woodridge Rd, Berlin, VT 05602-9165 | 2020-05-26 |
| 1386280121 | Jennifer M Wilcox | Nurse Practitioner | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-11-26 |
| 1952963274 | Anne Brereton | Nurse Practitioner | 1311 Barre-montpelier Road, Berlin, VT 05602 | 2019-07-08 |
| 1962656496 | Company Care Center | Nurse Practitioner | 4900 Oak Street, Berlin, OH 44610 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546294 | Steacy Lynne Suddaby | Nurse Practitioner | 272 N Main Street, Suite 101, Cambridge, VT 05444-0102 | 2020-10-21 |
| 1790293777 | Jamie Rogers | Nurse Practitioner | 677 Vt Rte 7a, Shaftsbury, VT 05262-0379 | 2018-01-12 |
| 1669614368 | Mary Claire Masson | Nurse Practitioner | One Winooski Park, St. Michael's College Student Health Services, Colchester, VT 05439 | 2009-03-27 |
| 1437132362 | Dorothy Malone-rising | Nurse Practitioner | 384 Lower Main W, Johnson, VT 05656-9632 | 2005-11-23 |
| 1104426238 | Meredith Welsh | Nurse Practitioner | 331 Olcott Dr Ste U3, White River Junction, VT 05001-9263 | 2020-10-28 |
| 1750999470 | Melanie Anne Black | Nurse Practitioner | 163 Veterans Dr, White River Junction, VT 05009-0001 | 2020-07-20 |
| 1992354112 | Minta Trivette | Nurse Practitioner | 44 S Main St, Randolph, VT 05060-1381 | 2019-09-10 |
| 1043712342 | Linda Ann Fasci | Nurse Practitioner | 118 Clark Rd, Williamstown, VT 05679-9449 | 2018-03-02 |
| 1124576475 | Whitney P Mical | Nurse Practitioner | 655 Main St, Suite 1, Bennington, VT 05201-2870 | 2016-09-15 |
| 1639521412 | Mary Anne Kohn | Nurse Practitioner | 789 Pine St, Burlington, VT 05401 | 2016-07-06 |
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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.