KATIE BEAUDUY (NPI# 1760962393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760962393 |
| Entity Type | Individual |
| Full Name | KATIE BEAUDUY |
| Practice Address |
601 S Center Ave Merrill WI 54452-3404 |
| Practice Telephone | 7155365511 |
| Mailing Telephone | 7155365511 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 8374 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8374 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
601 S CENTER AVE |
| City | MERRILL |
| State | WI |
| Zip Code | 54452-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234242 | Joseph Alan Heitz | Radiology | 601 S Center Ave, Merrill, WI 54452-3404 | 2005-09-07 |
| 1679059091 | Casey Jo Bube | Hospitalist | 601 S Center Ave, Merrill, WI 54452-3404 | 2018-07-18 |
| 1700222452 | Kristin T Woller | Occupational Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2013-05-21 |
| 1265775191 | Cole R. Marschke | Emergency Medicine | 601 S Center Ave, Merrill, WI 54452-3404 | 2013-03-28 |
| 1679815716 | Good Samaritan Health Center of Merrill Wi Inc | Non-Pharmacy Dispensing Site | 601 S Center Ave, Merrill, WI 54452-3404 | 2013-03-26 |
| 1023379781 | Debra Kay Zuelsdorff | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-30 |
| 1679832349 | Kathy Jo Anderson | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-15 |
| 1275892168 | Erinn Brigid Bunnell | Occupational Therapist | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-11 |
| 1598024531 | Marcy A Wiltgen | Physical Therapy Assistant | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-11 |
| 1508125683 | Miira Catherine Allen | Physical Therapist | 601 S Center Ave, Merrill, WI 54452-3404 | 2012-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273799 | Bone & Joint Clinic S.c. | Durable Medical Equipment & Medical Supplies | 100 Eagle Drive, Merrill, WI 54452 | 2019-09-06 |
| 1215413893 | Justine Tolles | Speech-Language Pathologist | Pine Crest, 2100 E 6th St, Merrill, WI 54452 | 2018-07-17 |
| 1265723688 | Primary Connection Health Care, Inc | Clinic/Center | 401 W. Main Street, Merrill, WI 54452 | 2011-04-20 |
| 1134374192 | Amanda J Wanta | Dental Hygienist | 401 West Mail Street, Merrill, WI 54452 | 2008-11-18 |
| 1457528598 | Lincoln County 51.437 Services | Case Management | 912 N Memorial Dr, Merrill, WI 54452 | 2008-05-08 |
| 1003019522 | Mary Margaret Hintze | Nurse Anesthetist, Certified Registered | 621 South Center Avenue, Merrill, WI 54452 | 2007-06-11 |
| 1093860702 | Katherine M. Gress-volpentesta | Chiropractor | 109 A S Center Ave, Merrill, WI 54452 | 2007-01-24 |
| 1578618187 | Gress Chiropractic Clinic, LLC | Chiropractor | 109 A S. Center Ave., Merrill, WI 54452 | 2007-01-24 |
| 1487751939 | Roger S Lamoreux | Optometrist | 728 E 2nd St, Merrill, WI 54452 | 2006-09-19 |
| 1568566776 | Paula K Mcintyre | Dietitian, Registered | 1205 Oday St, Merrill, WI 54452 | 2006-09-08 |
| Find all providers in zip 54452 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255685913 | Mary Katherine Stevenson | Nurse Practitioner | 1809 E 3rd St, Merrill, WI 54452-3102 | 2012-11-02 |
| 1548262876 | Michael Aaron Sheets | Nurse Practitioner | 125 N Lincoln St, Merrill, OR 97633 | 2005-05-31 |
| 1467813857 | Melissa Koengeter | Nurse Practitioner | 3430 E Main St, Merrill, WI 54452-9001 | 2016-03-11 |
| 1598885709 | Ruth Ann Nelson-lau | Nurse Practitioner | 601 S Center Ave, Merrill, WI 54452-3404 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATIE BEAUDUY.
| 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.