BEAU JUDSON WILLSEY (NPI# 1689009151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689009151 |
| Entity Type | Individual |
| Full Name | BEAU JUDSON WILLSEY |
| Credential | LMBT |
| Practice Address |
211 Wb Mclean Dr Cape Carteret NC 28584-8515 |
| Mailing Address |
202 Coldwater Dr Swansboro NC 28584-8256 |
| Practice Telephone | 9109159433 |
| Mailing Telephone | 9109159433 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2019-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 13564 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC BOARD OF MASSAGE | 13564 | 01 |
| Street Address |
211 WB MCLEAN DR |
| City | CAPE CARTERET |
| State | NC |
| Zip Code | 28584-8515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255740106 | Carteret Chiropractic and Family Wellness | Chiropractor | 211 Wb Mclean Dr, Cape Carteret, NC 28584-8515 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609373562 | Haldis Andersen | Dentist | 202 Mclean Blvd, Cape Carteret, NC 28584 | 2018-04-08 |
| 1740736560 | Savannah Corey | Social Worker | 20 Creekside Woods Drive, Swansboro, NC 28584 | 2016-08-31 |
| 1780919498 | Hunter Creech Brown | Pharmacist | 319 W.b.mclean Dr., Cape Carteret, NC 28584 | 2009-10-14 |
| 1518139807 | Julie E. Marion | Counselor | 624-2 W Corbett Ave, Crystal Coast Counseling, Swansboro, NC 28584 | 2008-03-27 |
| 1174795462 | Crystal Coast Counseling, Pllc | Counselor | 624-2 West Corbett Ave, Swansboro, NC 28584 | 2008-03-27 |
| 1316023534 | Richard Coe Holmes | Dentist | 710 Cedar Point Blvd, Cedar Point, NC 28584 | 2006-10-31 |
| 1750485165 | Anderson and Slack and Associates | Dentist | 718a West Corbett Ave, Swansboro, NC 28584 | 2006-09-08 |
| 1245340645 | James B Slack | Dentist | 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1912017013 | Gina C Mancini | Dentist | 718 A West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| 1962512368 | Doris J Black | Dentist | 200 718a West Corbett Avenue, Swansboro, NC 28584 | 2006-08-30 |
| Find all providers in zip 28584 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821373416 | Bobbie Jean Woods-wilner | Massage Therapist | 907 Wb Mclean Blvd, Suite 6, Cape Carteret, NC 28584-8522 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780438 | Maurice Lemont Suggs | Massage Therapist | 2700 Cluskey Way Apt 303, Raleigh, NC 27615-8067 | 2020-11-08 |
| 1275133183 | Nick Van Ngo | Massage Therapist | 6208 Fayetteville Rd Ste 101, Durham, NC 27713-6286 | 2020-10-29 |
| 1235739756 | Tamara Leigh Blankenship | Massage Therapist | 2427 Pebblestone Ct, Gastonia, NC 28054-2728 | 2020-10-26 |
| 1366041972 | Brandon Hammonds | Massage Therapist | 806 Autumn Leaves Ct, Wilmington, NC 28411-7777 | 2020-10-23 |
| 1972102069 | Lacretia Denise Ray | Massage Therapist | 310 W Copenhaver Dr, Clayton, NC 27527-9549 | 2020-10-20 |
| 1366041766 | Jonathan P Godwin | Massage Therapist | 4104 Cross Creek Ct Apt D, Raleigh, NC 27607-6549 | 2020-10-19 |
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1548868706 | Jairo Marte | Massage Therapist | 2311 W Cone Blvd Ste 121, Greensboro, NC 27408-4042 | 2020-10-11 |
| 1558968867 | Lonnie A Coleman | Massage Therapist | 516 Coapman St Apt B, Greensboro, NC 27407-1873 | 2020-10-08 |
| 1588261895 | Heather Ferrell | Massage Therapist | 1998 Hendersonville Rd Ste 12, Asheville, NC 28803-2192 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CARTERET |
| Zip Code | 28584 |
Please comment or provide details below to improve the information on BEAU JUDSON WILLSEY.
| 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.