Kristin Beauregard (NPI# 1225429004, PAC ID# 6608188537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225429004 |
| PAC ID by PECOS | 6608188537 |
| Professional Enrollment ID | I20150707002245 |
| Full Name | Kristin Beauregard |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Address |
593 Eddy St Apc Suite 6 Providence RI 02903-4923 |
| Phone Number | 4017939172 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 584 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410007 | RHODE ISLAND HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 185 A High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP, INC. |
| 185 High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP, INC. |
| 593 Eddy St, Providence, RI 02903-4923 | LIFESPAN PHYSICIAN GROUP, INC. | |
| 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 | 4017939172 | LIFESPAN PHYSICIAN GROUP, INC. |
| 593 Eddy St George Bldg 1st Floor, Providence, RI 02903-4923 | 4017939166 | LIFESPAN PHYSICIAN GROUP, INC. |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl E Levick | Cardiovascular Disease (cardiology) | Lifespan Physician Group, Inc. | 6 Blackstone Plaza, Valley Place, Lincoln, RI 02865 |
| John A Day Jr. | Pulmonary Disease | Lifespan Physician Group, Inc. | 19 Friendship, Providence, RI 02903-3913 |
| Terri L Chalker | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Adriana M Hosu | Internal Medicine | Lifespan Physician Group, Inc. | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Andrea C Sartori | Clinical Psychologist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Damien Paul Hebert | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 17 Seekonk St, Providence, RI 02906-5125 |
| Rebecca Leigh Jackson | Nurse Practitioner | Lifespan Physician Group, Inc. | 185 High Service Ave, North Providence, RI 02904-5114 |
| Jennifer T Dibello | Registered Dietitian Or Nutrition Professional | Lifespan Physician Group, Inc. | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Lynn C Schultz | Certified Registered Nurse Anesthetist | Lifespan Physician Group, Inc. | 593 Eddy St, Providence, RI 02903-4923 |
| Lindsay W Schnetzer | Clinical Psychologist | Lifespan Physician Group, Inc. | 1 Hoppin St, Suite 204, Providence, RI 02903-4141 |
| Street Address |
593 EDDY ST APC SUITE 6 |
| City | PROVIDENCE |
| State | RI |
| Zip | 02903-4923 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole K Breting | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Iris L Tong | Internal Medicine | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Veronica Seippel | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Kathleen Fava | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Kenneth Lynch | Nurse Practitioner | University Surgical Associates, Inc. | 593 Eddy St Apc, Suite 4, Providence, RI 02903-4923 |
| Alexandra Poll | Physician Assistant | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Loreen Rose Robbins | Nurse Practitioner | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Petra M Klinge | Neurosurgery | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Joseph A Wyllie | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Lindsey R Fuller | Physician Assistant | Lifespan Physician Group Inc | 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenny R Donahue | Physical Therapy | Episcopal Housing Foundation of Rhode Island | 289 N Main St, Providence, RI 02903-1223 |
| Paige Elizabeth Caffrey | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Marcy E Bernstein | General Surgery | Vohra Wound Physicians of Fl LLC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Sharon Ann Gapasin | Qualified Speech Language Pathologist | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Michael David Bertoncini | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Jonathan Sorensen | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Ann Marie Rameika | Nurse Practitioner | Practitioner Support Services LLP | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Amy Beth Ciarniello | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Dina Mccamish | Physical Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Alicia Marie Marshall | Occupational Therapy | Fox Rehab of Ri PC | 10 Dorrance St, Suite 700, Providence, RI 02903-2014 |
| Find all physicians in zip 02903 | |||
| City | PROVIDENCE |
| Zip Code | 02903 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PROVIDENCE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kristin Beauregard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.